Albumin dialysis MARS (Molecular Adsorbent Recirculating System) in acute liver failure, before liver transplantation.: Report of three cases

The most successful therapy for acute liver failure is liver transplantation. However, due to low number of donors organ support therapies need to be used as a bridge to liver transplantation. Molecular Adsorbents Recirculating System (MARS) is a dialysis treatment that uses a recirculating dialysate containing albumin. This allows the removal of both hydrosoluble and albumin-related substances. This system improves hepatic encephalopathy, renal dysfunction and some clinical parameters in acute liver failure, but there is no clear decrease it? mortality. We report three women aged 23, 21 and 61 years, that were subjected to liver transplantation, in whom this therapy was successfully used.