Liver failure is often complicated by sepsis. Available liver support systems (LSS) failed to show survival benefits. Hepa Wash^® (HW) is a newly developed LSS based on use of recycled albumin dialysate. The study aim is to evaluate its safety and efficacy in an animal model that combines liver failure with sepsis.

Female German Landrace pigs (~60 kg) were randomly allocated to HW (n = 5) and control (n = 5) groups. On day 0 ischemic and cholestatic liver injury was induced by functional end-to-side portacaval shunt and bile duct ligation. Animals were returned then to the stall for observation. On day 3 the second phase of the experiment was started. Endotoxin was administered intravenously at an initial dose of 4 μg/kg/hour with a stepwise twofold increment every hour and stopped after 7.5 hours. HW was started 2.5 hours after endotoxemia and continued for 7 hours.

Hepa Wash^® was safe and effective at improving survival in a swine model of liver failure and sepsis due to amelioration of the major organ functions and removal of protein-bound and water-soluble toxins.