USE OF PARTIAL CARDIOPULMONARY BYPASS DURING THE ANHEPATIC PHASE OF ORTHOTOPIC LIVER GRAFTING

USE OF PARTIAL CARDIOPULMONARY BYPASS DURING THE ANHEPATIC PHASE OF ORTHOTOPIC LIVER GRAFTING

Femoro-femoral partial cardiopulmon- ary bypass has been used in two patients undergoing orthotopic liver allografting who has severe cardiovascular disturbances on trial clamping of their venæ cavæ. Flows of 2–3 litres/min resulted in satisfactory cardiovascular control during the anhepatic phase i...

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Veröffentlicht in:The Lancet (British edition) 1979-09, Vol.314 (8143), p.612-614
Hauptverfasser: Calne, R.Y., Mcmaster, P., Smith, D.P., Craddock, G.N., Rolles, Keith, Farman, J.V., Lindop, M., Bethune, D.W., Wheeldon, D., Gill, R., Williams, Roger
Format: Artikel
Sprache:eng
Schlagworte:
Acids
Adenoviruses
Adult
Aged
Allografts
Brain
Bypasses
Cardiopulmonary Bypass - methods
Cardiovascular system
Catheterization - methods
Clamping
Constriction
Female
Femoral Artery - surgery
Femoral Vein - surgery
Femur
Genomes
Grafting
Hepatitis - surgery
Herpes viruses
Hospitals
Humans
Hypertension
Hypotension
Infections
Intraoperative Care
Liver
Liver - blood supply
Liver Cirrhosis, Biliary - surgery
Liver Transplantation
Middle Aged
Neuropathology
Patients
Portacaval Shunt, Surgical - methods
Potassium
Surgery
Transplantation
Transplantation, Homologous
Vena Cava, Inferior - surgery
Virology
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Beschreibung
Zusammenfassung:Femoro-femoral partial cardiopulmon- ary bypass has been used in two patients undergoing orthotopic liver allografting who has severe cardiovascular disturbances on trial clamping of their venæ cavæ. Flows of 2–3 litres/min resulted in satisfactory cardiovascular control during the anhepatic phase in each case. A third patient who tolerated caval clamping withstood the grafting without bipass. Having bypass available for use in critical cases could increase the safety of orthotopic liver transplantation.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(79)91668-4