Table 1.
Patient’s data
No. | Gender/age (yr) | Predisposing factor | Reason for MARS | No. of MARS | New or increased bleeding sites at the time of MARS | LT | Final outcome |
---|---|---|---|---|---|---|---|
1 | M/42 | HAV | ALF complicated by HEP and renal dysfunction | 3 | No | Yes | Expire after 3 days of LT |
2 | M/47 | Herb | ALF complicated by HEP and renal dysfunction | 3 | No | Yes | Outpatient FU |
3 | M/62 | Alcohol | AoCLF complicated by progressive jaundice and renal dysfunction | 3 | Catheter insertion site hematoma | No | Expire |
4 | M/64 | Alcohol | AoCLF complicated by progressive jaundice and renal dysfunction | 2 | No | No | Expire |
5 | F/28 | Pregnancy | ALF complicated by renal dysfunction | 1 | Vaginal bleeding, catheter insertion site hematoma | No | Outpatient FU |
6 | M/42 | Alcohol, GI bleeding | AoCLF complicated by HEP and renal dysfunction | 1 | GI bleeding, catheter insertion site hematoma | No | Expire |
7 | F/51 | HBV | AoCLF complicated by progressive jaundice and renal dysfunction | 2 | Catheter insertion site hematoma | Yes | Outpatient FU, HD |
8 | M/62 | Drug, HBV | AoCLF complicated by progressive jaundice and renal dysfunction | 2 | No | Yes | Outpatient FU, HD |
9 | F/35 | HAV | ALF complicated by HEP | 2 | No | No | Outpatient FU |
10 | F/62 | Alcohol | AoCLF complicated by progressive jaundice | 2 | Brain subdural hemorrhage | No | Expire |
11 | M/48 | Alcohol | AoCLF complicated by progressive jaundice | 1 | Oral bleeding, catheter insertion site hematoma | Yes | Outpatient FU |
12 | M/59 | HBV | AoCLF complicated by progressive jaundice and renal dysfunction | 6 | No | Yes | Outpatient FU, HD |
13 | M/66 | Alcohol | AoCLF complicated by progressive jaundice | 2 | Catheter insertion site hematoma | No | Expire |
14 | F/26 | Alcohol | AoCLF complicated by progressive jaundice | 3 | No | Yes | Expire after 5 months of LT |
15 | M/35 | Alcohol, GI bleeding | AoCLF complicated by HEP, progressive jaundice, and renal dysfunction | 3 | No | No | Expire |
16 | M/42 | HBV | AoCLF complicated by HEP, progressive jaundice | 2 | No | No | Expire |
17 | M/49 | Alcohol, herb | ALF complicated by HEP, progressive jaundice | 3 | Catheter insertion site hematoma | No | Expire |
MARS: molecular adsorbent recirculating system; LT: liver transplantation; HAV: hepatitis A virus; ALF: acute liver failure; HEP: hepatic encephalopathy; FU: follow-up; AoCLF: acute-on-chronic liver failure; GI: gastro-intestinal; HBV: hepatitis B virus; HD: hemodialysis.