ECMO in severe hypoxemia post liver transplant for hepatopulmonary syndrome

被引:0
|
作者
Barrueco-Francioni, Jesus Emilio [1 ,2 ,3 ]
Martinez-Gonzalez, Maria Carmen [1 ]
Martinez-Carmona, Juan Francisco [1 ]
Benitez-Moreno, Maria Palma [1 ]
Aragon-Gonzalez, Cesar [1 ]
Herrera-Gutierrez, Manuel Enrique [1 ,2 ,3 ]
机构
[1] Hosp Reg Univ Malaga, Unidad Cuidados Intens, Secc Trasplantes & Cuidados Postoperatorios, Ave Carlos Haya,84 Pabellon B,Planta 2, Malaga 29010, Spain
[2] Univ Malaga, Fac Med, Dept Med & Dermatol, Malaga, Spain
[3] Inst Invest Biomed Malaga IBIMA, Malaga, Spain
来源
INTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS | 2024年 / 47卷 / 11期
关键词
Hepatopulmonary syndrome; extracorporeal membrane oxygenation; liver transplantation; hypoxia; respiratory insufficiency; EXTRACORPOREAL MEMBRANE-OXYGENATION;
D O I
10.1177/03913988241274252
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Hepatopulmonary syndrome (HPS) poses a significant challenge in liver transplant patients, affecting between 10% and 30% of candidates. Historically, HPS was considered a contraindication for liver transplantation due to its association with high mortality rates. However, recent studies have shown improvements in pulmonary function post-transplant, leading to the inclusion of these patients as candidates. Despite this progress, approximately one-fifth of liver transplant recipients develop severe postoperative hypoxia, further complicating their clinical course and contributing to increased mortality. The management of post-transplant HPS involves various strategies, including extracorporeal membrane oxygenation (ECMO), although its use remains infrequently reported. Theoretical models suggest that oxygenation typically improves within 10 days post-transplant, while resolution of HPS may take 6-12 months, making ECMO an attractive possibility as a bridge to recovery in this population. We present a case were ECMO was used in this context.
引用
收藏
页码:858 / 861
页数:4
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