Reuse of Liver Grafts after Early Death of the First Recipient
Reuse of Liver Grafts after Early Death of the First Recipient
复制标题
第一个受体过早死亡后肝移植物的重复使用
DOI：
10.1007/s002689900049
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发表时间：
1996
影响因子：
2.6
通讯作者：
C. Castellón
中科院分区：
文献类型：
--
作者：
E. González;R. Gómez;I. G. Pinto;C. Loinaz;I. García;V. Maffettone;M. Corral;M. Marcello;A. González;C. Jiménez;C. Castellón
摘要。本文报道了3例首次接受肝移植者因脑出血早期死亡后再次接受肝移植的病例。捐赠人的健康状况良好；第一受体移植物的良好生化进化；ABO总相容性和供体-受体交叉配型；乙型肝炎病毒（HBV）、丙型肝炎病毒（HCV）和细菌培养均无阳性；早死使得再利用成为可能。与等待名单上的患者相比，供体短缺，而第二批受者的临床状况不佳，因此有必要做出决定，重新使用移植物，试图挽救他们的生命。患者的病情发展及重复使用的移植物均令人满意，且未出现因移植物既往移植所致的并发症。
Abstract. Three cases are reported of reuse of a transplanted liver graft after early death of the first recipient due to cerebral hemorrhage. The good condition of the donors; the excellent biochemical evolution of the graft in the first recipients; total ABO compatibility and donor-recipient crossmatch; the absence of positivity to hepatitis B virus (HBV), hepatitis C virus (HCV), and bacteriologic cultures; and early death made reuse possible. The shortage of donors in relation to patients on the waiting list and the poor clinical condition of the second recipients made it necessary to adopt the decision to reuse the graft in an attempt to save their lives. The evolution of the patients and the reused grafts was satisfactory, and there were no complications that could be attributed to the fact that the graft had been transplanted before.