UCL logo

UCL Discovery

UCL home » Library Services » Electronic resources » UCL Discovery

The role of the Molecular Adsorbents Recirculating System (MARS) in the management of liver failure

Sen, S; Jalan, R; (2004) The role of the Molecular Adsorbents Recirculating System (MARS) in the management of liver failure. PERFUSION-UK , 19 S43 - S48. 10.1191/0267659104pf716oa.

Full text not available from this repository.

Abstract

Albumin-bound toxins accumulate in liver failure, and are believed to contribute to the development of the associated end-organ dysfunctions ( kidney, circulation, brain). The scavenging functions of albumin are utilized in albumin dialysis for toxin removal. The Molecular Adsorbents Recirculating System ( MARS) is an extracorporeal liver support device based on dialysis across an albumin-impregnated membrane, using 20% albumin as dialysate. Charcoal and anion exchange resin columns in the circuit help cleanse and regenerate the dialysate. Clinical studies over the last decade have demonstrated proven reduction in hyperbilirubinaemia, along with an improvement in hepatic encephalopathy, systemic haemodynamics and renal function in liver failure patients, as well as apparent improvement in survival. However, the specific mechanisms underlying these observed clinical changes are as yet unclear. The results of larger controlled clinical trials, as well as studies investigating the pathophysiological basis of its effect, are awaited.

Type:Article
Title:The role of the Molecular Adsorbents Recirculating System (MARS) in the management of liver failure
Location:IMPERIAL COLL, HAMMERSMITH HOSP, LONDON, ENGLAND
DOI:10.1191/0267659104pf716oa
Keywords:DIALYSATE HEMODIAFILTRATION SYSTEM, CONTROLLED CLINICAL-TRIAL, ALBUMIN DIALYSIS, HEPATORENAL-SYNDROME, RECYCLING SYSTEM, PATHOPHYSIOLOGICAL BASIS, BIOARTIFICIAL LIVER, BLOOD PURIFICATION, SINGLE TREATMENT, SUPPORT DEVICE

Archive Staff Only: edit this record