2022
DOI: 10.55729/2000-9666.1064
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Extracorporeal Liver Support: An Updated Review of Mechanisms and Current Literature

Abstract: Introduction Acute liver failure is a cause of major mortality in the United States. Although the liver possesses regenerative capabilities, liver transplantation is the mainstay of treating acute liver failure. This modality is associated with many financial and logistic challenges. In this regard, Extracorporeal Liver Support (ECLS) might help in reducing mortality as well as bridge a patient to liver transplant. In some cases, the sequelae of liver failure such as hepatic encephalopathy and mul… Show more

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Cited by 6 publications
(4 citation statements)
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“… 36 In the event of liver malfunction, organ replacement is difficult and laborious, and most bridges repair the liver within brief time intervals. 37 Multiple variables, including genetic predisposition, gender, current immunological condition, pre-existing damage, and the invading pathogen, influence the liver’s response to infection. 38 This intricacy may be one reason why no particular therapeutic therapy for septic liver failure has been identified.…”
Section: Discussionmentioning
confidence: 99%
“… 36 In the event of liver malfunction, organ replacement is difficult and laborious, and most bridges repair the liver within brief time intervals. 37 Multiple variables, including genetic predisposition, gender, current immunological condition, pre-existing damage, and the invading pathogen, influence the liver’s response to infection. 38 This intricacy may be one reason why no particular therapeutic therapy for septic liver failure has been identified.…”
Section: Discussionmentioning
confidence: 99%
“…A fully functional liver is the ultimate aim of LTE, and functional liver tissue can be used for drug testing [2,18]. Moreover, LTE has the potential to develop an extracorporeal liver support (ECLS) system performing the essential functions of the liver to reduce mortality or to bridge a patient to a liver transplant [19]. With recent advances in the field of regenerative medicine, tissue engineering holds high potential to progress as an alternative or supplement to LT. A major advance in the LTE area was published by Chhabra and colleagues, reporting the development of a vascularized liver model to understand liver regeneration [20].…”
Section: Liver Tissue Engineering: Principles and Progressmentioning
confidence: 99%
“…Impaired hepatic detoxification, protein synthesis and metabolism lead to the accumulation of water-soluble, albumin-bound toxins and inflammatory mediators, which play a crucial role in the development of cardiovascular and neurotoxic complications, even leading to multi-organ failure (MOF) [3]. Several extracorporeal liver support systems have been tested in patients with HD as a bridge to recovery or LT [4,5]. The most widely used device is the molecular adsorbent recirculating system (MARS), which is designed to remove albumin-bound 2 of 11 toxins.…”
Section: Introductionmentioning
confidence: 99%