Predictive Value of Hepatic Venous Pressure Gradient for Graft Hemodynamics in Living Donor Liver Transplantation

2019 ◽  
Vol 25 (7) ◽  
pp. 1034-1042 ◽  
Author(s):  
Hajime Matsushima ◽  
Masato Fujiki ◽  
Kazunari Sasaki ◽  
Daniel M. Rotroff ◽  
Mark Sands ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Pressure Gradient ◽  
Predictive Value ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Venous Pressure ◽  
Hepatic Venous Pressure Gradient ◽  
Donor Liver ◽  
Donor Liver Transplantation

Is Portal Venous Pressure Modulation Still Indicated for All Recipients in Living Donor Liver Transplantation?

2018 ◽  
Vol 24 (11) ◽  
pp. 1578-1588 ◽  
Author(s):  
Siyuan Yao ◽  
Toshimi Kaido ◽  
Ryuji Uozumi ◽  
Shintaro Yagi ◽  
Yosuke Miyachi ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Venous Pressure ◽  
Portal Venous Pressure ◽  
Donor Liver ◽  
Donor Liver Transplantation ◽  
Pressure Modulation

scholarly journals Impact of portal venous pressure on regeneration and graft damage after living-donor liver transplantation

2004 ◽  
Vol 11 (1) ◽  
pp. 68-75 ◽  
Author(s):  
Shintaro Yagi ◽  
Taku Iida ◽  
Kentaro Taniguchi ◽  
Tomohide Hori ◽  
Takashi Hamada ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Venous Pressure ◽  
Portal Venous Pressure ◽  
Donor Liver ◽  
Donor Liver Transplantation

scholarly journals Is Portal Venous Pressure or Porto-systemic Gradient Really A Harbinger of Poor Outcomes After Living Donor Liver Transplantation?

2017 ◽  
Vol 7 (3) ◽  
pp. 235-246 ◽  
Author(s):  
Amol Vijay Kanetkar ◽  
Dinesh Balakrishnan ◽  
Sudhindran Sudhindran ◽  
Puneet Dhar ◽  
Unnikrishnan Gopalakrishnan ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Venous Pressure ◽  
Portal Venous Pressure ◽  
Donor Liver ◽  
Donor Liver Transplantation ◽  
Poor Outcomes

scholarly journals Effect of Portal Venous Pressure on Liver Function of Donors in Living Donor Liver Transplantation

2019 ◽  
Vol 24 ◽  
pp. 401-406 ◽  
Author(s):  
Ahmed H. Khalil ◽  
Mohammed Khattab ◽  
Karim A. Hosny ◽  
Mostafa Elshazly ◽  
Ayman Salah Eldin ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Liver Function ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Venous Pressure ◽  
Portal Venous Pressure ◽  
Donor Liver ◽  
Donor Liver Transplantation

scholarly journals Using Rotational Thromboelastometry to Identify Early Allograft Dysfunction after Living Donor Liver Transplantation

2021 ◽  
Vol 10 (15) ◽  
pp. 3401
Author(s):  
Chen-Fang Lee ◽  
Hao-Chien Hung ◽  
Wei-Chen Lee
Keyword(s):  
Liver Transplantation ◽  
Negative Predictive Value ◽  
Predictive Value ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Donor Liver ◽  
Rotational Thromboelastometry ◽  
Donor Liver Transplantation ◽  
Early Allograft Dysfunction ◽  
Maximum Clot Firmness

Background: Diagnostic tests for early allograft dysfunction (EAD) after living donor liver transplantation (LDLT) vary widely. We aimed to evaluate the predictive value of rotational thromboelastometry (ROTEM)-derived parameters in EAD. Materials and Methods: A total of 121 patients were reviewed. The definition of EAD proposed by Olthoff et al. included the presence of any of the following at postoperative day 7: bilirubin level ≥ 10 mg/dL, INR ≥ 1.6, or serum AST or ALT levels > 2000 IU/L. All patients underwent ROTEM assay, which consisted of an extrinsically activated thromboelastometric test (EXTEM) before and 24 h after LDLT. Results: The 1-year/2-year OS were 68.%8/64.5% and 94.4%/90.8% for the EAD and non-EAD groups, respectively (p = 0.001). Two independent risks were identified for EAD, the postoperative clotting time (CT, p = 0.026) and time to maximum clot firmness (maximum clot firmness (MCF)-t, p = 0.009) on the EXTEM. CT yielded a specificity of 82.0% and negative predictive value of 83.0%, and MCF-t displayed a specificity of 76.4% and negative predictive value of 81.9% in diagnosing EAD. The use of the 24 h post-LDLT ROTEM increased the effectiveness of predicting overall survival (OS) compared to using the Olthoff’s EAD criteria alone (p < 0.001). Conclusion: We conclude that CT and MCF on EXTEM were independent predictors of EAD. The 24 h post-LDLT ROTEM can be used with conventional laboratory tests to diagnose EAD. It increases the effectiveness of predicting OS.

scholarly journals How Far Does Residual Liver Volume Affect Portal Pressure Gradient During Donor Hepatectomy in Living Donor Liver Transplantation

2019 ◽  
Vol 87 (March) ◽  
pp. 41-44
Author(s):  
AHMED H. KHALIL, M.D., M.R.C.S.; MOHAMMED KHATTAB, M.Sc. ◽  
KAREEM HOSNY, M.D. MOSTAFA EL-SHAZLY, M.D. ◽  
AYMAN SALAH ELDIN, M.D. ADEL HOSNY, M.D.
Keyword(s):  
Liver Transplantation ◽  
Pressure Gradient ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Portal Pressure ◽  
Liver Volume ◽  
Donor Liver ◽  
Donor Hepatectomy ◽  
Donor Liver Transplantation
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