Case Reports in Gastroenterology (May 2016)

Successful Management of Acute Liver Failure Patients Waiting for Liver Transplantation by On-Line Hemodiafiltration with an Arteriovenous Fistula

  • Yuki Haga,
  • Shin Yasui,
  • Tatsuo Kanda,
  • Noriyuki Hattori,
  • Toru Wakamatsu,
  • Masato Nakamura,
  • Reina Sasaki,
  • Shuang Wu,
  • Shingo Nakamoto,
  • Makoto Arai,
  • Hitoshi Maruyama,
  • Masayuki Ohtsuka,
  • Shigeto Oda,
  • Masaru Miyazaki,
  • Osamu Yokosuka

DOI
https://doi.org/10.1159/000445186
Journal volume & issue
Vol. 10, no. 1
pp. 139 – 145

Abstract

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On-line hemodiafiltration (OLHDF) is one of the treatment options in the management of acute liver failure (ALF) in Japan. It is essential to avoid infection in the management of ALF. In fact, infection is one of the prognostic factors in ALF. In this report, we present a middle-aged Japanese man with ALF associated with benzbromarone use. He was successfully managed without infection until liver transplantation by creating an arteriovenous fistula for OLHDF. Utilizing an arteriovenous fistula for OLHDF, rather than inserting a vascular access catheter, is a beneficial option to avoid infectious diseases in the management of ALF.

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