A case of living donor liver transplant recipient treated with novel blood purification "plasma diafiltration".
Blood purification therapy is indispensable for liver transplant recipients. The case of a living donor liver transplant recipient who represented graft insufficiency and was supported by novel blood purification "plasma diafiltration" immediately after operation is presented. A 60-year-old woman was referred for living donor liver transplant because of liver cirrhosis due to hepatitis C. Elective living donor liver transplant was performed, but the graft was small for size. Thus, the signs of graft insufficiency appeared immediately after the operation, and plasma diafiltration was used as a bridge to graft regeneration. After plasma diafiltration was started, the recipient recovered promptly, and withdrawal was performed 35 hours after induction without any complications. Plasma diafiltration is a useful and safe liver support for liver transplant recipients, including immediately after liver transplantation.
1 Department of Gastroenterologic Surgery, Division of Cancer Medicine, Graduate School of Medical Science, Kanazawa University, Kanazawa, Ishikawa 920-8641, Japan.
Hironori
H
Hayashi
Hiroyuki
H
Takamura
Takumi
T
Taniguchi
Shin-ichi
S
Nakanuma
Hisatoshi
H
Nakagawara
Hidehiro
H
Tajima
Hirohisa
H
Kitagawa
Ichiro
I
Onishi
Takashi
T
Tani
Tetsuo
T
Ohta
D005260:Female; D006085:Graft Survival; D017583:Hemodiafiltration / Q000379:methods*; D006801:Humans; D008103:Liver Cirrhosis / Q000601:surgery* / Q000821:virology; D016031:Liver Transplantation; D019520:Living Donors; D008875:Middle Aged; D066027:Transplant Recipients