Molecular Adsorbents Recirculating System Dialysis for Liver Insufficiency and Sepsis Following Right Ventricular Assist Device after Cardiac Surgery

Hein, Otrud Vargas; Marz, Susanne; Konertz, Wolfgang; Kox, Wolfgang J.; Spies, Claudia

doi:10.1111/j.1525-1594.2004.00004.x

Cited by 4 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A mortality range over 60% can be expected when the MOF state is reached (4,7). Some authors have communicated isolated reports of satisfactory responses to recirculating adsorbent albumin (molecular adsorbent recirculating system [MARS]) therapy in similar situations (12).…”

Section: Discussionmentioning

confidence: 99%

Ductular Cholestasis, an Unusual Form of Intrahepatic Cholestasis, Associated With Cardiogenic Shock and Ventricular Assist Device

et al. 2010

View full text Add to dashboard Cite

Ventricular assist devices have been shown to be effective in advanced heart failure selected patients. They often have borderline end-organ function, what facilitates organ dysfunction. Liver failure is difficult to manage and leads to increased morbidity and mortality. We report a case of ductular cholestasis, an unusual cholestatic hepatic failure with untractable coagulopathy, developed during the use of a magnetic levitation centrifugal pump, implanted as a bridge to heart transplantation, in a patient with cardiogenic shock (as an end-stage disease of idiopathic dilated cardiomyopathy). We discussed the pathophysiology of this entity and the possible related factors, including the assist device. Preemptive interventions have been advocated as the primary way of treatment. Preoperative optimization of heart function and avoidance of visceral hypoperfusion and sepsis may play a major role.

show abstract

Section: Discussionmentioning

confidence: 99%

Ductular Cholestasis, an Unusual Form of Intrahepatic Cholestasis, Associated With Cardiogenic Shock and Ventricular Assist Device

et al. 2010

View full text Add to dashboard Cite

show abstract

“…Otrud Vargas Hein et al (83) of Humboldt‐University of Berlin (Berlin, Germany) reported a case of right heart failure (RHF) and sepsis with liver insufficiency in a 70‐year‐old patient after coronary artery bypass graft surgery. Heart function recovered and the right heart assist device was explanted on day 1 after surgery.…”

Section: Liver Supportmentioning

confidence: 99%