Year 2021 / Volume 113 / Number 6
Letter
Liver transplant in a receptor with ABO incompatibility: a viable option

477

DOI: 10.17235/reed.2020.7416/2020

Alfredo Vivas López, Iago Justo Alonso, Alejandro Manrique Municio, Alberto Marcacuzco Quinto, Carmelo Loinaz Segurola,

Abstract
We present the case of a 41-year-old male with type A blood group and a diagnosis of fulminant liver failure of an unknown cause, who was admitted to the Intensive Care Unit (ICU) with severe coagulopathy (INR 6), hyperammonemia (250 umol/l) and grade IV encephalopathy (four King’s criteria and both Clichy’s criteria). He also had GCS 8/15, despite TDE-MARS, dialysis and ventilator support via endotracheal tube due to encephalopathy. He was registered as status 0 for liver transplant. In the absence of a compatible donor, the patient received an ABO incompatible liver transplant (LT), group O, using the piggyback technique, without any complications. He required transfusion of five units of plasma but did not require a blood transfusion.
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References
1. McPhail, M.J., Wendon, J.A., Bernal, W. Meta-analysis of performance of Kings's College Hospital Criteria in prediction of outcome in non-paracetamol-induced acute liver failure. J Hepatol. 2010;53(3):492-499. doi:10.1016/j.jhep.2010.03.023
2. Goss, M.B. and Rana, A. (2017). ABO‐incompatible liver transplantation: Is it a viable option with modern innovation?. Clinical Liver Disease, 10: 124-129. doi:10.1002/cld.673
3. Rummler, S., Bauschke, A., Bärthel, E. et al. Current techniques for AB0-incompatible living donor liver transplantation. World J Transplant. 2016;6(3):548-555. doi:10.5500/wjt.v6.i3.548
4. Skogsberg, U., Bennet, W. (2019) ABO-Incompatible Liver Transplantation – A Review of the Historical Background and Results, International Reviews of Immunology, 38:3, 118-128, DOI: 10.1080/08830185.2019.1601720
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Citation tools
Vivas López A, Justo Alonso I, Manrique Municio A, Marcacuzco Quinto A, Loinaz Segurola C. Liver transplant in a receptor with ABO incompatibility: a viable option . 7416/2020


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Publication history

Received: 17/07/2020

Accepted: 31/07/2020

Online First: 27/11/2020

Published: 04/06/2021

Article Online First time: 133 days

Article editing time: 322 days


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