Abstract
The present artificial liver support systems are mostly aimed at the possibility of removing toxic substances and waste metabolites. However, the liver also carries out important metabolic and synthetic functions and it may be more reasonable to look at combined approaches of detoxification and supplementation. This paper summarizes our work in this area of research.
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
Amano I, Kano H, Takahira H, Yamamoto Y, Itoh K, Iwatsuki S, Maeda K, Ohta K (1978) Hepatic assist system using bead-type charcoal. In: Chang TMS (ed) Artificial kidney, artificial liver, and artificial cells. Plenum, New York, p 89
Chang TMS (1964) Semipermeable microcapsules. Science 146:524–525
Chang TMS (1966) Semipermeable aqueous microcapsules (artificial cells): with emphasis on experiments in an extracorporeal shunt system. Trans Am Soc Artif Intern Organs 12:13–19
Chang TMS (1969) Removal of endogenous and exogenous toxins by a microencapsulated absorbent. Can J Physiol Pharmacol 47/12:1043–1045
Chang TMS (1972) Hemoperfusion over microencapsulated adsorbent in a patient with hepatic coma. Lancet 2:1371–1372
Chang TMS (1976) Hemoperfusion alone and in series with ultrafiltration or dialysis for uremia, poisoning and liver failure. Kidney Int 10:S305–S311
Chang TMS (1977) Biomédical applications of immobilized enzymes and proteins, vols 1,2. Plenum, New York
Chang TMS (to be published) Adsorbent hemoperfusion in blood detoxification. Trans Soc Artif Intern Organs
Chang TMS, Lister C (1980) Analysis of possible toxins in hepatic coma including the removal of mercaptan by albumin-collodion charcoal. Int J Artif Organs 3:108–112
Chang TMS, Malouf C (1978) Artificial cells microencapsulated multienzyme system for converting urea and ammonia to amino acid using α-ketoglutarate and glucose as substrate. Trans Am Soc Artif Intern Organs 24:18–20
Chang TMS, Migchelsen M (1973) Characterization of possible ‚toxic‘ metabolites in uremia and hepatic coma based on the clearance spectrum for larger molecules by the ACAC microcapsule artificial kidney. Trans Am Soc Artif Intern Organs 19:314–319
Chang TMS, Lister C, Chirito E, O’Keefe P, Resurreccion E (1978) Effects of hemoperfusion rate and time of initiation of ACAC charcoal hemoperfusion on the survival of fulminant hepatic failure rats. Trans Am Soc Artif Intern Organs 24:243–245
Chirito E, Reiter B, Lister C, Chang TMS (1977) Artificial liver: the effect of ACAC microencapsulated charcoal haemoperfusion on fulminant hepatic failure. Artif Organs 1:76–83
Chirito E, Lister C, Chang TMS (1979) Biochemical, hematological and histological changes in a fulminant hepatic failure rat model for artificial liver assessment. Artif Organs J 3/1:42–46
Gazzard BG, Weston MY, Murray-Lyon IM, Flax H, Record CO, Portmann B, Langley PG, Dunlop EH, Mellon PJ, Ward MB, Williams R (1974) Charcoal haemoperfusion in the treatment of fulminant hepatic failure. Lancet 1:1301–1306
Gelfand MC, Winchester JF, Knepshield JH, Cohan SL, Schreiner GE (1978) Biochemistral correlates of reversal of hepatic coma with coated charcoal hemoperfusion. Trans Am Soc Artif Intern Organs 24:239–242
Hughes R, Cochrane MAG, Thomson AD, Murray-Lyon IM, Williams R (1975) Plasma inhibition factor. In: Williams R, Murray-Lyon IM (eds) Artificial liver support. Pitman Medical, London, p 263
Kaziuka EN, Chang TMS (1979) In-vitro assessment of the removal of phenols by ACAC hemoperfusion. Int J artif Organs 2/4:215–221
Krumlowsky FA, del Greco F, Nieferman M (1978) Prolonged hemoperfusion and hemodialysis in management of hepatic failure and hepatorenal syndrome. Trans Am Soc Artif Intern Organs 24: 235–238
Mohsini K, Lister C, Chang TMS (to be published) The effects of homologous cross-circulation and in situ liver perfusion on galactosamine induced fulminant hepatic failure rats. Artif Organs J
Odaka M, Tabata Y, Kobayaski H, Nomura Y, Soma H, Hirasawa H, Sata H (1978) Clinical experience of bead-shaped charcoal hemoperfusion in chronic renal failure and fulminant hepatic failure. In: Chang TMS (ed) Artificial kidney, artificial liver, and artificial cells. Plenum, New York, p 79
Opolon P, Huguet C, Nusinovici V, Lavallard MC, Crubille C, Gallot P, Bloch P, Granger A (1975) Effects of middle molecules removal on encephalopathy during acute liver failure. Trans Eur Soc Artif Organs 2:228–231
Plotz PH, Berk PD, Scharschmidt BF (1974) Removing substances from blood by affinity chromatography: (I) removing bilirubin and other albumin-bound substances from plasma and blood with albumin conjugated agarose beads. J Clin Invest 53:778–782
Shu C-D, Chang TMS (1980) Tyrosinase immobilized within artificial cells for detoxification in liver failure: I. Preparation and in vivo studies. Int J Artif Organs 3:287–292
Silk DBA, Williams R (1978) Treatment of fulminant hepatic failure by charcoal hemoperfusion. In: Chang TMS (ed) Artificial kidney, artificial liver, and artificial cells. Plenum, New York, p 125
Tabata Y, Chang TMS (to be published) Comparisons of six artificial liver support regimes in fulminant hepatic coma rats. Trans Am Soc Artif Intern Organs
Ton HY, Hughes RD, Silk DBA, Williams R (1979) Albumin coated Amberlite XAD-7 resin for hemoperfusion in acute liver failure. Int J Artif Organs 3:20–24
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
Chang, T.M.S. (1981). Hemoperfusion, Exchange Transfusion, Cross Circulation, Liver Perfusion, Hormones and Immobilized Enzymes. In: Brunner, G., Schmidt, F.W. (eds) Artificial Liver Support. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-96629-3_19
Download citation
DOI: https://doi.org/10.1007/978-3-642-96629-3_19
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-96631-6
Online ISBN: 978-3-642-96629-3
eBook Packages: Springer Book Archive