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Abstract
ICP is an important cause of mortality in fulminant hepatic failure. The aim of this study was to prolonged survival in surgery-induced FHF rabbit with BAL. Four hours after induction of FHF, rabbits were connected to a 4-h whole blood perfusion through the BAL containing 1.2×109 fresh isolated porcine hepatocytes (estimated 30% of liver volume of rabbit) via an arterial-venous shunt. Survival times in control group, sham-BAL group and BAL group were14.4±4.4h, 12.6±2.6h and 22.6±5.2h, respectively (BAL vs. control, p=0.026; BAL vs. sham-BAL, p=0.006). BAL group remain ICP level less than 10mmHg for near 13h after FHF induction while 19 and 15mmHg were observed in control and sham-BAL groups, respectively. BAL containing porcine hepatocytes significantly prolonged survival time by delayed increase of intracranial pressure compared with the control and sham-BAL groups.
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