Criteria voor en resultaten van levertransplantatie bij patiënten met acute leverinsufficiëntie

Translated title of the contribution: Liver transplantation in patients with acute liver failure - Criteria and results

H. J. Metselaar*, H. W. Tilanus, J. N. IJzermans, T. N. Groenland, B. Van Den Berg, S. W. Schalm

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)

Abstract

Objective. Evaluation of the results of emergency liver transplantation in patients with acute liver failure. Design. Analysis of 25 patients with acute liver failure. Setting. University Hospital Rotterdam Dijkzigt. Method. Twenty-five patients with acute liver failure were admitted to the Intensive Care Unit in January 1989-May 1993. Patients were selected for emergency liver transplantation according to the Clichy criteria (presence of confusion or coma and factor V activity less than 20-30%). Results. Liver transplantation was indicated in 17 patients and performed in 13. The 1-year survival rate in patients with a liver transplant was 85%. Four patients with an indication for liver transplantation, but who could not be transplanted died. All 8 patients without an indication for emergency liver transplantation survived. Conclusion. Survival after liver transplantation for acute hepatic failure is now about 80%; the Clichy criteria appear to be helpful in selecting patients with acute hepatic failure for liver transplantation.

Translated title of the contributionLiver transplantation in patients with acute liver failure - Criteria and results
Original languageDutch
Pages (from-to)1901-1904
Number of pages4
JournalNederlands Tijdschrift voor Geneeskunde
Volume138
Issue number38
Publication statusPublished - 23 Sept 1994

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