Abstract
The early results with treatment of fulminant hepatic failure (FHF) by charcoal haemoperfusion gave encouraging results and of the first 37 patients, 14 survived to leave hospital (37.8%). However, as the series continued, survival rate fell in association with an increasing frequency of hypotensive reactions during haemoperfusion. The latter were accompanied by a fall in circulating platelet numbers and the appearance of cellular aggregates in blood leaving the column, detected by rises in Swank screen filtration pressure (SFP) (Silk and Williams 1978). Electron micrographs of the Swank screen filters confirmed the presence of platelet aggregates.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Canalese J, Gimson AES, Davis M, Williams R (to be published) Preventable factors contributing to mortality in paracetamol induced FHF. Lancet
Graddock PR, Fehr J, Dalmasso AP, Brigham K, Jacob HS (1977) Pulmonary vascular leukostasis resulting from complement activation by dialysis cellophane membranes. J Clin Invest 59:879–888
Dusting G, Moncada S, Vane JR (1979) Prostaglandins, their intermediates and precursors: cardiovascular actions and regulatory roles in normal and abnormal circulatory states. Prog Cardiovasc Dis 21/6: 405–430
Gimson AES, Langley PG, Hughes RD, Canalese J, Mellon PJ, Williams R, Woods HF, Weston MJ (1980) PGI2 to prevent platelet activation during charcoal haemoperfusion in FHF. Lancet 1:173–175
Langley PG, Hughes RD, Ton HY, Silk DBA, Williams R (1979) The use of PGI2 in the prevention of adverse platelet reactions during charcoal haemoperfusion. Int JArtif Organs 2:207–210
Langley PG, Hughes RD, Williams R (to be published) Platelet adhesiveness in liver disease and the effect of heparin on platelet aggregation. Thromb Res
McGiff J, Wong PY-K (1979) Compartmentalisation of prostaglandins and PGI2 within the kidney: complications for function. Fed Proc 38/1:89–93
Rake MD, Parnell G, Flute PT, Williams R (1970) Intravascular coagulation in acute hepatic necrosis. Lancet 1:533–537
Rubin MH, Weston MJ, Bullock G, Roberts J, Langley PG, White YS, Williams R (1977) Abnormal platelet function and ultrastructure in FHF. Q J Med 183:339–352
Salzmann EW, Rosenberg RD, Smith M, Lindon JN, Favreau L (1980) Effect of heparin and heparin fractions on platelet aggregation. J Clin Invest 65:64–73
Silk DBA, Williams R (1978) Experience in the treatment of FHF by conservative therapy, charcoal haemoperfusion and polyacrylonitrile haemodialysis. Int J Artif Organs 1:29–33
Wilkinson SP, Arroyo VA, Moodie H, Blendis LM, Williams R (1976) Abnormalities of sodium excretion and other disorders of renal function in FHF. Gut 17:501–505
Wilkinson SP, Moodie H, Arroyo VA, Williams R (1977) Frequency of renal impairment in paracetamol overdose compared with other causes of acute liver damage. J Clin Pathol 30:141–143
Wyke BJ, Rajkovic IA, Eddleston ALWF, Williams R (to be published) Defective opsonisation and complement deficiency in serum from patients with FHF. Gut
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1981 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Gimson, A.E.S., Canalese, J., Langley, P.G., Hughes, R.D., Williams, R. (1981). Charcoal Haemoperfusion with PGI2 in the Treatment of Fulminant Hepatic Failure. In: Brunner, G., Schmidt, F.W. (eds) Artificial Liver Support. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-96629-3_17
Download citation
DOI: https://doi.org/10.1007/978-3-642-96629-3_17
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-96631-6
Online ISBN: 978-3-642-96629-3
eBook Packages: Springer Book Archive