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Liver Assist Systems for Bridging to Transplantation: Devices and Concepts

  • Nathanael RaschzokEmail author
  • Karl Herbert Hillebrandt
  • Igor M. Sauer
Chapter

Abstract

Liver transplantation continues to be the gold standard for the treatment of patients with acute liver failure, chronic liver diseases, and in the early stages of hepatocellular carcinoma. However, the success of liver transplantation is increasingly limited by the lack of suitable donor organs. Liver support systems have been developed in order to solve this issue by providing temporary support for the failing liver, thereby either helping to bridge the time until a suitable liver graft becomes available, or giving the patient’s liver a chance to regenerate. We here discuss the conceptual background of the devices and practices currently in use and under development for liver assist: I. artificial und bioartificial liver support devices, II. hepatocyte transplantation, and III. the bioengineered liver. Liver support devices and hepatocyte transplantation have already been clinically evaluated. Yet, the bioengineered liver is still a challenge although also a goal for the near future. Not all the systems described are ready to apply in clinical routines.

Keywords

Liver transplantation Liver support Liver assist Bioartificial Hepatocyte transplantation Bioartificial liver 

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© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Nathanael Raschzok
    • 1
    Email author
  • Karl Herbert Hillebrandt
    • 1
  • Igor M. Sauer
    • 1
  1. 1.Department of Surgery, Campus Charité Mitte | Campus Virchow-KlinikumExperimental Surgery and Regenerative Medicine, Charité – Universitätsmedizin BerlinBerlinGermany

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