Temporary support for XXXX .

@entity1 @entity879 @entity204
GOAL: To review treatment approaches for temporary liver support of @entity1 with @entity879 ( @entity879 ). STUDY A MEDLINE: search of English language reports published between 1960 and 1999 and a manual search of bibliographies of relevant papers were performed. Studies of @entity1 in whom non-orthotopic liver transplant (OLT)-based approaches were used were reviewed, including case reports, case series, review articles describing unpublished cases, and controlled trials. Relevant clinical information was extracted with emphasis on improvement in liver function, successful bridging to OLT, recovery without OLT, and @entity204 . There was a lack of more than one controlled trial for each therapy, and most case reports were anecdotal in nature; therefore, no statistical analysis was attempted. Predefined outcomes from individual @entity1 were synthesized collectively into tables. RESULTS: Both cell-based and non-cell-based therapies for @entity879 appear promising. Preliminary experience has established the safety of these approaches, but current data are inadequate to evaluate efficacy. CONCLUSIONS: Routine use of artificial liver support systems cannot be recommended at this time. However, the established safety of cell- and non-cell-based liver support devices warrants additional prospective (Phase III) controlled trials among @entity1 with @entity879 . We suggest an algorithm for management of @entity1 with @entity879 that incorporates recent data.
