Segmental grafts in adult and pediatric liver transplantation: improving outcomes by minimizing vascular complications.

Importance: The use of technically variant segmental grafts are key in offering transplantation to increase organ availability.

Objective: To describe the use of segmental allograft in the current era of donor scarcity, minimizing vascular complications using innovative surgical techniques.

Design, Setting, And Participants: Retrospective study from August 2007 to August 2012 at a university hospital.

Emergency ABO-incompatible liver transplant secondary to fulminant hepatic failure: outcome, role of TPE and review of the literature.

The increasing demand for solid organ transplants has brought to light the need to utilize organs in critical situations despite ABO-incompatibility. However, these transplantations are complicated by pre-existing ABO antibodies which may be potentially dangerous and makes the transplantation prone to failure due to rejection with resulting necrosis or intrahepatic biliary complications. We report the clinical outcome of an emergency ABO-incompatible liver transplant (due to fulminant hepatic failure with sudden and rapidly deteriorating mental status) using a modified therapeutic plasma exchange (TPE) protocol.