Development of high-efficiency molecular adsorbent recirculating system: preliminary report.

Abstract:

:Molecular Adsorbent Recirculating System (MARS) is a liver support system widely employed in the treatment of liver failure. The method is normally well tolerated. To develop a liver support system combining high efficiency and tolerability, we modified the MARS albumin circuit with the insertion of double adsorption units in parallel. Four patients have been treated with this modified method (high-efficiency MARS, HE MARS): two had very high serum bilirubin and two had very high total bile acids. After a single MARS session bilirubin was reduced more with HE MARS than standard MARS (from 27.6 to 52.3% in patient A and from 27.9 to 49.1% in patient B), and bile acid reduction increased from 40 to 59.8% in patient C and from 39.9 to 60% in patient D. The results of this preliminary investigation in only a very small number of patients do support the possibility of developing a liver support system that combines good tolerability and high efficacy.

journal_name

Artif Organs

journal_title

Artificial organs

authors

Marangoni R,Bellati G,Castelli A,Romagnoli E

doi

10.1111/aor.12250

subject

Has Abstract

pub_date

2014-10-01 00:00:00

pages

879-83

issue

10

eissn

0160-564X

issn

1525-1594

journal_volume

38

pub_type

杂志文章
  • The design modification of advanced ventricular assist device to enhance pulse augmentation and regurgitant flow shut-off.

    abstract::The new Advanced ventricular assist device (Advanced VAD) has many features such as improving pulsatility and preventing regurgitant flow during pump stoppage. The purpose of this study was to evaluate the effects of design modifications of the Advanced VAD on these features in vitro. Bench testing of four versions of...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.13484

    authors: Miyamoto T,Byram N,Karimov JH,Adams J,Dessoffy R,Kuban BD,Gao S,Horvath DJ,Fukamachi K

    更新日期:2019-10-01 00:00:00

  • Adsorption of microorganism components by lixelle beads.

    abstract::We reported previously that Lixelle, which was used for beta-2 microglobulin (BMG) adsorption columns, could adsorb not only BMG but also inflammatory cytokines. We then were interested in the application of Lixelle to patients with systemic inflammatory response syndrome (SIRS) and tried to find out its ability to ad...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.2000.06502-2.x

    authors: Tsuchida K,Takemoto Y,Nakatani T,Nakamura T,Sugimura K,Yamamoto K

    更新日期:2000-07-01 00:00:00

  • Acellular Endocardium as a Novel Biomaterial for the Intima of Tissue-Engineered Small-Caliber Vascular Grafts.

    abstract::We aimed to investigate whether acellular endocardium can be used as a useful biomaterial for the intima of engineered small-caliber vascular grafts. Fresh endocardium was harvested from the swine left atrium and was decellularized by digestion with the decellularization solution of Triton X-100 and SDS containing DNa...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.12814

    authors: Wang F,Guan X,Wu T,Qiao J,Han Z,Wu J,Yu X,You Q

    更新日期:2016-12-01 00:00:00

  • Experiencing Functional Electrical Stimulation Roots on Education, and Clinical Developments in Paraplegia and Tetraplegia With Technological Innovation.

    abstract::Cybernetics-based concepts can allow for complete independence for paralyzed individuals, including sensory motor recovery. Spinal cord injuries are responsible for a huge stress on health and a financial burden to society. This article focuses on novel procedures such as functional diagnosis for paraplegics and tetra...

    journal_title:Artificial organs

    pub_type: 杂志文章,评审

    doi:10.1111/aor.12620

    authors: Varoto R,Cliquet A Jr

    更新日期:2015-10-01 00:00:00

  • Extracorporeal Life Support in Out-of-Hospital Refractory Cardiac Arrest.

    abstract::Out-of-Hospital refractory Cardiac Arrest (OHrCA) has a mortality rate between 90 and 95%. Since 2009, French medical academic societies have recommended the use of extracorporeal life support (ECLS) for OHrCA. According to these guidelines, patients were eligible for ECLS support if vital signs were still present dur...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.12655

    authors: Rousse N,Robin E,Juthier F,Hysi I,Banfi C,Al Ibrahim M,Coadou H,Goldstein P,Wiel E,Vincentelli A

    更新日期:2016-09-01 00:00:00

  • The mechanics of spiral flow: Enhanced washout and transport.

    abstract::Spiral/helical forms of blood flow have been observed in large arteries of the cardiovascular system, but their benefits remain underappreciated. Spiral flow has been postulated to improve near-wall washout, promoting anti-atherothrombotic conditions. This research aims to study the washout characteristics of spiral f...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.13520

    authors: Huang Zhang P,Tkatch C,Newman R,Grimme W,Vainchtein D,Kresh JY

    更新日期:2019-12-01 00:00:00

  • Visual three-dimensional representation of beat-to-beat electrocardiogram traces during hemodiafiltration.

    abstract::This study evaluated the usefulness of the three-dimensional representation of electrocardiogram traces (3DECG) to reveal acute and gradual changes during a full session of hemodiafiltration (HDF) in end-stage renal disease (ESRD) patients. Fifteen ESRD patients were included (six men, nine women, age 46 ± 19 years ol...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2011.01382.x

    authors: Rodriguez-Fernandez R,Infante O,Perez-Grovas H,Hernandez E,Ruiz-Palacios P,Franco M,Lerma C

    更新日期:2012-06-01 00:00:00

  • Judicious usage of estrogen/progesterone for angiodysplasia.

    abstract::We recently experienced a case of a female hemodialysis patient with multiple intestinal angiodysplasias. In 2001, she complained of melena, and angiographic embolization halted bleeding from ileum angiodysplasia. In 2002, she again complained of black stool. Abdominal angiography found jejunum angiodysplasia, and pha...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2004.29003.x

    authors: Takenaka T,Kanno Y,Suzuki H

    更新日期:2005-01-01 00:00:00

  • Is the dog a useful model for accelerated calcification study of cardiovascular bioprostheses?

    abstract::Chitosan posttreatment has been shown to be effective in prevention of calcification of the glutaraldehyde treated bovine pericardium when implanted subdermally in rats for 12 weeks. The efficacy of chitosan posttreatment in complete calcium mitigation of the glutaraldehyde treated porcine aortic valves implanted in t...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1997.tb00735.x

    authors: Chanda J,Kuribayashi R,Abe T,Sekine S,Shibata Y,Yamagishi I

    更新日期:1997-05-01 00:00:00

  • Extracorporeal endotoxin removal by immobilized polyethylenimine.

    abstract::The neutralization of bacterial endotoxins (ET) is still an unsolved problem in therapeutic medicine. The efficacy of anti-endotoxin antibodies or receptor antagonists and other substances interfering with the endotoxin-induced pathomechanisms is dependent on an intact cellular degradation system of the host. However,...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1993.tb00630.x

    authors: Mitzner S,Schneidewind J,Falkenhagen D,Loth F,Klinkmann H

    更新日期:1993-09-01 00:00:00

  • Doppler ultrasonic detection of particulate release during hemodialysis with cellulose hollow-fiber and sorbent suspension reciprocating dialyzers.

    abstract::Doppler ultrasound is a noninvasive technique for monitoring moving objects such as flowing blood while ignoring stationary objects such as shunt tubing. A Doppler system was investigated to determine its sensitivity in detecting particulate release in blood during hemodialysis. Seven hemodialysis procedures with dogs...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1984.tb04275.x

    authors: Badylak SF,Ash SR,Thornhill JA,Carr DJ

    更新日期:1984-05-01 00:00:00

  • Miniaturization of a magnetically levitated axial flow blood pump.

    abstract::This article introduces a unique miniaturization process of a magnetically levitated axial flow blood pump from a functional prototype to a pump suitable for animal trials. Through COMSOL three-dimensional finite element analysis and experimental verification, the hybrid magnetic bearings of the pump have been miniatu...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2010.01077.x

    authors: Cheng S,Olles MW,Olsen DB,Joyce LD,Day SW

    更新日期:2010-10-01 00:00:00

  • Biodegradation and biocompatibility of polyorganophosphazene.

    abstract::We investigated biodegradation and biocompatibility of poly(organophosphazenes). We prepared poly(organophosphazenes) having different side chain groups. The blood compatibility of poly(organophosphazenes) containing fluorinated side groups, poly(bis[trifluoroethoxy]phosphazene) (PbFP) and poly([trifluoroethoxy][ethyl...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.2002.07029.x

    authors: Kawakami H,Kanezaki S,Sudo M,Kanno M,Nagaoka S,Kubota S

    更新日期:2002-10-01 00:00:00

  • Blood transfusion in pediatric cardiac surgery.

    abstract::The aim of the study is to measure the volume of homologous blood needed for one pediatric patient during his hospital stay. Over a 4-month period, all the patients operated upon with a blood prime or requiring blood transfusion during their hospital stay were included in this study.The cardiopulmonary bypass protocol...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2010.01158.x

    authors: Durandy Y

    更新日期:2010-11-01 00:00:00

  • Bone marrow combined with dental bud cells promotes tooth regeneration in miniature pig model.

    abstract::Growth factors and morphogens secreted by bone marrow mesenchymal stem cells (BMSCs) of bone marrow fluid may promote tooth regeneration. Accordingly, a tissue engineering approach was utilized to develop an economical strategy for obtaining the growth factors and morphogens from BMSCs. Unerupted second molar tooth bu...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2010.01064.x

    authors: Kuo TF,Lin HC,Yang KC,Lin FH,Chen MH,Wu CC,Chang HH

    更新日期:2011-02-01 00:00:00

  • Surgical use of fluosol-DA in Jehovah's Witness patients.

    abstract::The effects of Fluosol-DA 20% on circulating blood cells, hemodynamic parameters, blood gases, and organs are described and compared with the results of phase I human studies and animal experiments. Bleeding of preoperative anemia and/or surgical bleeding, Fluosol-DA 20% was administered to 7 of 10 Jehovah's Witness p...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1984.tb04238.x

    authors: Ohyanagi H,Nakaya S,Okumura S,Saitoh Y

    更新日期:1984-02-01 00:00:00

  • Extracorporeal life support during and after bilateral sequential lung transplantation in patients with pulmonary artery hypertension.

    abstract::The use of extracorporeal membrane oxygenator instead of standard cardiopulmonary bypass during lung transplantation is debatable. Moreover, recently, the concept of prolonged postoperative extracorporeal membrane oxygenator (ECMO) support has been introduced in many transplant centers to prevent primary graft dysfunc...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.13628

    authors: Dell'Amore A,Campisi A,Congiu S,Mazzarra S,Pastore S,Dolci G,Baiocchi M,Frascaroli G

    更新日期:2020-06-01 00:00:00

  • The ethics of technology introduction.

    abstract::The rapid acceleration of technology development is outpacing our ability to assess it objectively and competently. Our challenge is to develop new assessment methods that take into account the fast moving nature of technology development while still protecting the patients' and the public interest. ...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.1998.06020.x

    authors: Abele JE

    更新日期:1998-01-01 00:00:00

  • Microcirculation and artificial heart research.

    abstract::Small blood vessels may play a more important role in artificial heart (AH) recipients than ever suspected before. Observations of elevated total peripheral resistance, low hematocrit, reduced oncotic pressure, high circulating blood volume, and arterial pulsations with nonpulsatile devices require consideration of pe...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1988.tb01529.x

    authors: Lübbe AS

    更新日期:1988-02-01 00:00:00

  • Improved mechanism for capturing muscle power for circulatory support.

    abstract::Although it is now understood that trained skeletal muscle can generate enough steady-state power to provide significant circulatory support, there are currently no means by which to tap this endogenous energy source to aid the failing heart. To that end, an implantable muscle energy converter (MEC) has been construct...

    journal_title:Artificial organs

    pub_type: 杂志文章,评审

    doi:10.1111/j.1525-1594.2005.29108.x

    authors: Trumble DR,Melvin DB,Byrne MT,Magovern JA

    更新日期:2005-09-01 00:00:00

  • Changes in Spirometry After Left Ventricular Assist Device Implantation.

    abstract::Left ventricular assist devices (LVADs) are increasingly being used as life-saving therapy in patients with end-stage heart failure. The changes in spirometry following LVAD implantation and subsequent unloading of the left ventricle and pulmonary circulation are unknown. In this study, we explored long-term changes i...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/aor.12507

    authors: Mohamedali B,Bhat G,Yost G,Tatooles A

    更新日期:2015-12-01 00:00:00

  • Morphological characteristics and proliferation of keratocytes cultured under simulated microgravity.

    abstract::This study probed the changes of keratocytes cultured under simulated microgravity. Keratocytes were isolated from rabbit corneas using collagenase digestion method. Cells were seeded in a 55-mL capacity high-aspect-ratio vessel (HARV) of rotary cell culture system (RCCS) at a density of 1 x 10(4) cells/mL. Dehydrated...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2007.00440.x

    authors: Chen J,Chen R,Gao S

    更新日期:2007-09-01 00:00:00

  • A nonsurgical technique for blood access in extracorporeal affinity adsorption of antibodies in rats.

    abstract::Monoclonal antibodies for targeting cytotoxic conjugates to tumor cells are currently being evaluated together with extracorporeal affinity adsorption. The aim of the adsorption was to reduce undesired side effects in normal organs and to increase the tumor-to-normal tissue ratios. This technique is also applicable to...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2007.00380.x

    authors: Mårtensson L,Nilsson R,Sjögren HO,Strand SE,Tennvall J

    更新日期:2007-04-01 00:00:00

  • Experimental study of a new method for early detection of vascular access stenoses: pulse pressure analysis at hemodialysis needle.

    abstract::Hemodialysis vascular access (VA) stenosis remains a frequent complication. However, early detection is challenging and costly. The aim of this in vitro study was to assess a new detection method based on pulse pressure analysis at the hemodialysis needle. A silicon model of a radiocephalic arteriovenous fistula was b...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.2009.00772.x

    authors: Van Canneyt K,Planken RN,Eloot S,Segers P,Verdonck P

    更新日期:2010-02-01 00:00:00

  • Systemic consequences of ventricular assist devices: alterations of coagulation, immune function, inflammation, and the neuroendocrine system.

    abstract::Implantable ventricular assist devices have proven efficacious as a bridge to transplantation and as a bridge to recovery. Although current indications for use of assist devices are somewhat limited, they are likely to expand in the upcoming years, including their use as destination therapy for end-stage heart failure...

    journal_title:Artificial organs

    pub_type: 杂志文章,评审

    doi:10.1046/j.1525-1594.2002.07122.x

    authors: Hampton CR,Verrier ED

    更新日期:2002-11-01 00:00:00

  • Multicenter Experience With Mechanical Circulatory Support Using a New Diagonal Pump in 233 Children.

    abstract::Technological innovations in pediatric extracorporeal life support circuits can reduce system-related complications and may improve patients' outcome. The Deltastream DP3 (Medos Medizintechnik AG, Stolberg, Germany) is a novel rotational pump with a diagonally streamed impeller that can be used over a broad range of f...

    journal_title:Artificial organs

    pub_type: 杂志文章,多中心研究

    doi:10.1111/aor.13016

    authors: Stiller B,Houmes RJ,Rüffer A,Kumpf M,Müller A,Kipfmüller F,Köditz H,Herber Jonat S,Schmoor C,Benk C,Tibboel D,Fleck T

    更新日期:2018-04-01 00:00:00

  • Control systems for the electric heart.

    abstract::Methods to predict and control cardiac output (CO) accurately in total artificial heart (TAH) recipients have varied significantly in the last few decades. Early models exhibited minimal control mechanisms and involved fixed pumping parameters. Elaborate electromechanical systems that have recently evolved require int...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:

    authors: White RK,Olsen DB

    更新日期:1991-10-01 00:00:00

  • Visually guided performance of simple tasks using simulated prosthetic vision.

    abstract::Loss of photoreceptor cells is one of the major causes of blindness. Several groups are exploring the functional replacement of photoreceptors by a retinal prosthesis. The goal of this study was to simulate the vision levels that recipients of retinal prostheses with 4 x 4, 6 x 10, and 16 x 16 electrode arrays may exp...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1046/j.1525-1594.2003.07309.x

    authors: Hayes JS,Yin VT,Piyathaisere D,Weiland JD,Humayun MS,Dagnelie G

    更新日期:2003-11-01 00:00:00

  • Hemodynamic evaluation of a new left ventricular assist device: an integrated cardioassist catheter as a pulsatile left ventricle-femoral artery bypass.

    abstract::We developed a new left ventricular (LV) assist catheter (transaortic valve from LV to femoral artery) that is implemented percutaneously and exerted as a synchronous pulsatile partial LV flow support with conventional intraaortic balloon pump (IABP) driving system and centrifugal pump system. We investigated whether ...

    journal_title:Artificial organs

    pub_type: 杂志文章

    doi:10.1111/j.1525-1594.1992.tb00311.x

    authors: Ide H,Yamaguchi A,Ino T,Matsumoto H,Fujimasa I

    更新日期:1992-06-01 00:00:00

  • Reduction of early postoperative morbidity in cardiac surgery patients treated with continuous veno-venous hemofiltration during cardiopulmonary bypass.

    abstract::Cardiac surgery with cardiopulmonary bypass is associated with a systemic inflammatory response syndrome. The major clinical features of this include a reduction of pulmonary compliance and increased extracellular fluids, with increased pulmonary shunt fraction similar to acute respiratory distress syndrome, thus resu...

    journal_title:Artificial organs

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1525-1594.2009.00777.x

    authors: Luciani R,Goracci M,Simon C,Principe F,Fazzari L,Punzo G,Menè P

    更新日期:2009-08-01 00:00:00