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  • 2017 American Transplant Congress

    Racial Differences in Liver Cirrhosis-Related Mortality Among Patients with Model for End-Stage Liver Disease Sodium Score (MELDNa) ≤ 15.

    K. Atiemo,1 H. Maddur,1 L. Zhao,1 A. Skaro,2 S. Montag,1 L. VanWagner,1 S. Goel,1 A. Kho,1 R. Kang,1 J. Holl,1 M. Abecassis,1 J. Levitsky,1 L. Kulik,1 D. Ladner.1

    1Northwestern University Transplant Research Collaborative, Chicago; 2London Health Sciences Center, London, ON, Canada

    Introduction:Subpopulations of patients with liver cirrhosis exist for whom the Model for End-Stage Liver Disease Sodium Score (MELDNa) is suboptimal for mortality prediction and who…
  • 2017 American Transplant Congress

    Anastomosis Time During Liver Transplantation Impairs Transplant Survival.

    I. Jochmans,1 S. Fieuws,2 I. Tieken,3 U. Samuel,3 J. Pirenne.1

    1Abdominal Transplantation, UZLeuven, Leuven, Belgium; 2ICBSB, KULeuven, Leuven, Belgium; 3Eurotransplant, Leiden, Netherlands

    Warm ischemia sustained during implantation might harm the liver graft.We investigated the relationship between anastomosis time (AT) and transplant survival in 5223 recipients of deceased-donor…
  • 2017 American Transplant Congress

    Graft and Patient Survival in Liver Transplantation for Primary Sclerosing Cholangitis with Organs from DCD versus DBD Donors: Analysis of the UNOS Database.

    O. Mousa,1 J. Corral,1 M. Pang,1 D. Lee,2 J. Nguyen,2 K. Croome,2 D. Harnois.2

    1Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL; 2Transplant, Mayo Clinic, Jacksonville, FL

    Background: Primary sclerosing cholangitis (PSC) remains a major indication for liver transplantation (LT) worldwide. In an era of limited organ donation pool, assessment of PSC…
  • 2017 American Transplant Congress

    Exceptions Points and Size Drive Gender Disparities in Liver Transplantation.

    L. Nephew,1 D. Goldberg,1,2 J. Lewis,1,2 P. Abt,3 M. Bryan,4 K. Forde.1,2

    1Division of Gastroenterology/Hepatology, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA; 2Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; 3Division of Liver Transplantation, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA; 4Department of Biostatistics and Epidemiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA

    Background and Aims: The root causes of gender disparities in liver transplantation (LT) have not been fully elucidated. We hypothesize that the source of the…
  • 2017 American Transplant Congress

    Geographic Differences in Secular Trends of Liver Supply and Demand.

    E. Chow,1 R. Choudhury,1 A. Massie,1 S. Gentry,2 D. Segev.1

    1JHU, Baltimore; 2US Naval Academy, Annapolis

    Geographic disparities in access to deceased donor liver transplant reflect geographically disparate levels of supply of and demand for organs. Proposed policy changes like redistricting…
  • 2017 American Transplant Congress

    Extraction Time During Liver Retrieval Impairs Survival After Transplantation.

    I. Jochmans,1 S. Fieuws,2 I. Tieken,3 U. Samuel,3 J. Pirenne.1

    1Abdominal Transplantation, UZ Leuven, Leuven, Belgium; 2ICBSB, UZ Leuven, Leuven, Belgium; 3Eurotransplant, Leiden, Netherlands

    During donor hepatectomy, despite topic cooling to 10-20[deg]C, the liver still sustains warm ischemia that might be harmful.We investigated the relationship between extraction time (ET)…
  • 2017 American Transplant Congress

    WHO Group II Pulmonary Hypertension Is Associated with Decreased Survival in Patients Awaiting Liver Transplantation.

    H. Memon, J.-A. Guerra, B. Trachtenberg, J. Estep, A. Bhimaraj, I. Hussain, M. Park, H. Monsour, M. Ghobrial, A. Guha.

    Medicine, Houston Methodist Hospital, Houston, TX

    End stage liver disease (ESLD) patients with cirrhotic cardiomyopathy often have WHO Group II pulmonary hypertension (PH), characterized by pulmonary capillary wedge pressure (PCWP) >15…
  • 2017 American Transplant Congress

    Donor Body Mass Index and Utilization of Liver Biopsy: An Evaluation of National Practices and Organ Utilization.

    J. Steggerda,1 D. Marguiles,1 D. Malinoski,2 M. Bloom.1

    1Surgery, Cedars-Sinai Medical Center, Los Angeles, CA; 2Surgery, Oregon Health and Science University, Portland, OR

    Background: As the prevalence of obesity in America increases, so has the proportion of donors with elevated body mass index (BMI). While graft steatosis >30%…
  • 2017 American Transplant Congress

    A Surge in Liver Donors After Years of Decline, Is This the Tip of the Iceberg?

    A. Rana,1 M. Goss,1 J. Rees,2 M. Kueht,1 J. Vierling,1 A. Mindikoglu,1 K. Halazun,3 N. Sussman,1 B. Kaplan,4 P. Wood,5 N. Galvan,1 R. Cotton,1 C. O'Mahony,1 J. Goss.1

    1Abdominal Transplantation, Baylor College of Medicine, Houston; 2Southwest Transplant Alliance Organ Procurement Organization, Dallas; 3Surgery, Weill Cornell Medical Center, New York; 4Nephrology, Mayo Clinic, Phoenix; 5LifeGift Organ Procurement Organization, Houston

    The number of liver donors has steadily declined since 2006, despite numerous efforts to increase donation. Then in 2013 to the current projected numbers for…
  • 2017 American Transplant Congress

    Exception Scores for Patients on the Liver Waiting List.

    T. Weaver,1 D. Schladt,1 M. Skeans,1 J. Pyke,1 J. Zeglin,1 S. Leppke,1 A. Israni,1,2 B. Kasiske,1,2 W. Kim,3 J. Lake.4

    1Scientific Registry of Transplant Recipients, Minneapolis, MN; 2Hennepin County Medical Center, Minneapolis, MN; 3Stanford University, Stanford, CA; 4University of Minnesota, Minneapolis, MN

    Liver waitlist candidates are prioritized for allocation using model for end-stage liver disease (MELD) scores, and some patients receive higher MELD scores through exception. The…
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