July 1966

Perfusion Dynamics for Extracorporeal Hepatic Assist

Author Affiliations

From the Department of Surgery, University of Kentucky Medical School, Lexington.

Arch Surg. 1966;93(1):131-141. doi:10.1001/archsurg.1966.01330010133016

LIVER perfusion during extracorporeal hepatic assist1 is best performed with a minimum flow and the simplest possible circuitry. It is, therefore, of both theoretical and practical importance to determine the combination of perfusion dynamics that will achieve such function in the isolated liver. This is a systematic study of factors that thus affect function of the liver perfused with totally oxygenated blood.

The liver in vivo is subject to a complex perfusion system that cannot easily be duplicated in detail. Weighing 1,500 gm in man, it is perfused with pulsatile hepatic arterial blood at a rate of 0.32 cc/gm of liver per minute,2 and twice3 this volume, or 0.65 cc/gm of liver per minute, of portal venous blood of enteric origin.4 Oxygen saturation of the portal venous blood varies between 86% and 95%.5 The maximum oxygen utilization of normal liver tissue is 2.2 to 2.7

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