Resumen de Diálisis con albúmina MARS (Molecular Adsorbent Recirculating System) como puente para el trasplante hepático en insuficiencia hepática fulminante: presentación de 3 casos

Jorge Contreras B, Jaime Poniachik, Dan Oksenberg R, Claudia Cortés M, José Miguel Valera M, Alejandro Cotera, Alejandro Pacheco D, Erico Segovia S, María Eugenia Sanhueza, Andrés Boltansky, Jorge Rojas C, Julia Guerrero, Juan Carlos Díaz J

• The most successful therapy for acute liver failure is liver transplantation. However, due to the low number of donors, organ support therapies need to be used as a bridge to liver transplantation. Molecular Adsorbents Recirculating System (MARS) is a dialysis treatment that uses a recirculating dialysate containing albumin. This allows the removal of both hydrosoluble and albumin-related substances. This system improves hepatic encephalopathy, renal dysfunction and some clinical parameters in acute liver failure, but there is no clear decrease in mortality. We report three women aged 23, 21 and 61 years, that were subjected to liver transplantation, in whom this therapy was successfully used (Rev Méd Chile 2004; 132: 601-7).