scholarly journals Domino Liver Transplantation from a Child with Propionic Acidemia to a Child with Idiopathic Fulminant Hepatic Failure

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Marina Moguilevitch ◽  
Ellise Delphin

Domino liver transplant has emerged as a viable strategy to increase the number of grafts available for transplantation. In the domino transplant organs explanted from one patient are transplanted into another patient. The first successful domino liver transplant was performed in Portugal in 1995. Since then this innovative concept has been applied to several genetic or biochemical disorders that are treated by liver transplantation. An important consideration during this operation is that such livers can pose a risk of the de novo development of the disease in the recipient. That is why this surgical procedure requires careful planning, proper selection of the patients, and informed consent of both donor and recipient.

2010 ◽  
Vol 52 ◽  
pp. S185-S186
Author(s):  
C. Baliellas ◽  
L. Lladó ◽  
C. Casasnovas ◽  
J. Castellote ◽  
J. Fabregat ◽  
...  

2020 ◽  
Vol 11 ◽  
Author(s):  
Zahra Beyzaei ◽  
Bita Geramizadeh ◽  
Zahra Bagheri ◽  
Sara Karimzadeh ◽  
Alireza Shojazadeh

BackgroundThe impact of de novo anti-HLA donor-specific alloantibodies (DSA) which develop after long-term liver transplantation (LT) remains controversial and unclear. The aim of this study was to investigate the role of de novo DSAs on the outcome in LT.MethodsWe did a systematic review and meta-analysis of observational studies published until Dec 31, 2019, that reported de novo DSA outcome data (≥1 year of follow-up) after liver transplant. A literature search in the MEDLINE/PubMed, EMBASE, Cochrane Library, Scopus and Web of Science Core Collection databases was performed.ResultsOf 5,325 studies identified, 15 fulfilled our inclusion criteria. The studies which reported 2016 liver transplant recipients with de novo DSAs showed an increased complication risk, i.e. graft loss and chronic rejection (OR 3.61; 95% CI 1.94–6.71, P < 0.001; I2 58.19%), and allograft rejection alone (OR 6.43; 95% CI: 3.17–13.04; P < 0.001; I2 49.77%); they were compared to patients without de novo DSAs. The association between de novo DSAs and overall outcome failure was consistent across all subgroups and sensitivity analysis.ConclusionsOur study suggested that de novo DSAs had a significant deleterious impact on the liver transplant risk of rejection. The routine detection of de novo DSAs may be beneficial as noninvasive biomarker-guided risk stratification.


2020 ◽  
Vol 104 (S3) ◽  
pp. S487-S488
Author(s):  
Lubomir Skladany ◽  
Svetlana Adamcova Selcanova ◽  
Jana Ciefova ◽  
Natalia Bystrianska ◽  
Beata Skvarkova ◽  
...  

Amyloid ◽  
2002 ◽  
Vol 9 (3) ◽  
pp. 194-196 ◽  
Author(s):  
Paulo Lisboa Bittencourt ◽  
Claudia Alves Couto ◽  
Regina Maria Cubero Leitão ◽  
Sheila Aparecida Siqueira ◽  
Alberto Queiroz Farias ◽  
...  

2009 ◽  
Vol 16 (1) ◽  
pp. 109-109 ◽  
Author(s):  
Ana Paula Barreiros ◽  
Christian Geber ◽  
Frank Birklein ◽  
Peter R. Galle ◽  
Gerd Otto

HPB ◽  
2018 ◽  
Vol 20 ◽  
pp. S309
Author(s):  
G. Cárdenas ◽  
D. Calatayud ◽  
J. Colmenero ◽  
A. Hessheimer ◽  
J. Núñez ◽  
...  

2020 ◽  
Vol 13 ◽  
pp. 175628482096875
Author(s):  
Guang-Peng Zhou ◽  
Li-Ying Sun ◽  
Zhi-Jun Zhu

Although orthotopic liver transplantation remains the only proven treatment for end-stage liver disease and inherited metabolic liver disease, its application has been limited by the scarcity of donor organs available for transplantation. Among feasible approaches developed to expand the donor organ pool, domino liver transplantation is a strategy in which explanted genetically defective livers of liver transplant recipients are used as grafts in other patients. Another promising therapeutic strategy is hepatocyte transplantation, an alternative to liver transplantation for certain groups of patients. However, the availability of primary hepatocytes is also hindered by the shortage of donor liver tissues. Against this background, domino hepatocyte transplantation, a strategy that utilizes the hepatocytes derived from the explanted livers of liver transplant recipients with noncirrhotic inherited metabolic liver diseases as the source of primary hepatocytes, may help increase the supply of liver cells available for transplantation. In this review, we focus on the status quo of domino liver transplantation and domino hepatocyte transplantation. We also describe recent innovative transplant strategies based on domino transplantation.


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