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Octogenarian livers successfully transplanted in patients with fulminant hepatic failure
- Publication Year :
- 2005
-
Abstract
- Although octogenarian livers have been transplanted successfully in elective settings, their safety in the case of fulminant hepatic failure has not yet been reported. From November 1998 to June 2003, we transplanted 3 livers from 80-, 82-, and 86-year-old donors. The donors were hemodynamically stable with an intensive care unit stay ranging from 24-48 hours. Cold ischemia time was from 260 minutes to 526 minutes. Mild macrosteatosis was present in 2 donors. Donor and recipient characteristics as well as posttransplantation evolution were evaluated. Two cases had uneventful courses and all recipients are well at 39, 21, and 5 months, respectively. The second recipient underwent retransplantation at 15 days due to technical complications. Livers from octogenarian donors may be safely used in an emergency to save patients. Age does not represent a limit for individually assessed and highly selected donors.
- Subjects :
- Adult
Male
medicine.medical_specialty
Cold Ischemia Time
law.invention
Hemodynamically stable
Fulminant hepatic failure
law
Humans
Medicine
In patient
Aged
Aged, 80 and over
Transplantation
business.industry
Liver Failure, Acute
Middle Aged
Intensive care unit
Tissue Donors
Surgery
Liver Transplantation
Treatment Outcome
Female
business
Human
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....d272b9214bed774158a445e957acd58a