Nyckowski P, Skwarek A, Zieniewicz K, Patkowski W, Alsharabi A, Wróblewski T, Remiszewski P, Smoter P, Kotulski M, Korba M, Paczkowska A, Giercuszkiewicz D, Sańko-Resmer J, Paczek L, Krawczyk M
Department of General, Transplant and Liver Surgery, Warsaw Medical University, ul. Banacha 1a, 02-097 Warsaw, Poland.
Transplant Proc. 2006 Jan-Feb;38(1):219-20. doi: 10.1016/j.transproceed.2005.12.010.
This paper presents the results of liver transplantation for fulminant hepatic failure in 31 patients qualified as UNOS-1 class (extra-urgent indication for transplantation), operated from January 1989 to April 2005. Twenty-one patients (61.8%) survived the 3-month postoperative period. Three-year survival rate with good liver graft function was 52.9% (18 patients). Before the transplantation, eight patients (23.5%) underwent hepatic dialysis using Fractionated Plasma Separation and Adsorption (FPSA) with the use of a Prometheus 4008H System. Liver transplantation remains the only life-saving procedure for the treatment of fulminant liver failure, regardless of its cause.
