Coagulability and fibrinolytic changes during veno-venous bypass in liver transplantation.

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Coagulability and fibrinolytic changes during veno-venous bypass in liver transplantation.

In clinical liver transplantation, a venous bypass that rechannels the blood flow from the inferior vena cava and portal vein to the superior vena cava has been used to maintain the venous return. However, the usage of mechanical shunt has given rise to derangements of blood coagulability and fibrinolysis. Therefore, changes of coagulability and fibrinolysis during the venous bypass were examin...

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Shunt flow and caval pressure gradient during veno-venous bypass in human orthotopic liver transplantation.

The routine use of veno-venous bypass during the anhepatic phase of orthotopic liver transplantation is controversial. Decreased shunt flows (1.5-3.0 litre min-1), as reported in the literature, may explain the lack of beneficial effects on outcome. We have studied the influence of bypass flows on caval pressure gradient (CPG) and renal perfusion pressure (RPP) in 45 patients undergoing orthoto...

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A technique for autologous priming of the veno-venous bypass circuit during liver transplantation.

Orthotopic liver transplantations (OLT) have been associated with significant blood loss and hemodilution, necessitating significant homologous blood component replacement. Increasing administration of homologous blood products has been found to be inversely related to patient and graft survival. Various methods to reduce the amount of blood products patients receive during OLT, such as antifib...

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Veno-venous Bypass without Systemic Anticoagulation in Canine and Human Liver Transplantation.

I/, tC II PREVIOUS A TfEMPTS TO PERFORM liver transplantation during ve~ \ venous bypass with systemic anticoagulation (heparin) in 12 patients a1 I this medical center resulted in excessive blood loss in six and at least one l' fatality. The purpose of this study was to test the plausibility and conse· quences of using a veno-venous circuit without systemic anticoagulatioD during liver transpl...

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Would routine avoidance of veno-veno bypass be possible during liver transplantation?

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. CC Primary failure of the liver is associated with the secondary dysfunction of virtually...

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ژورنال

عنوان ژورنال: The Tohoku Journal of Experimental Medicine

سال: 1987

ISSN: 0040-8727,1349-3329

DOI: 10.1620/tjem.152.375