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American Transplant Congress abstracts

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  • 2016 American Transplant Congress

    Results from 100 Consecutive Donation-After-Circulatory Death (DCD) Liver Transplants Using a Thrombolytic Protocol.

    J. Seal, H. Bohorquez, N. Battula, E. Ahmed, D. Bruce, I. Carmody, R. Trevor, G. Tyson, S. Joshi, N. Bzowej, G. Therapondas, N. Girgrah, A. Cohen, G. Loss.

    Multi-Organ Transplant Institute, Ochsner Clinic Foundation, New Orleans, LA.

    Background: In early 2010, our center implemented a thrombolytic protocol for DCD liver transplantation in an effort to reduce biliary complications and improve graft survival.…
  • 2016 American Transplant Congress

    Probability of Transplant (POT) Index: A Novel Method to Predict the Likelihood of an Adult Liver Transplant.

    J. Moffett,1 M. Kueht,1 H. Petrowsky,2 I. Riaz,3 C. Nalty,4 S. Khaderi,1 C. O'Mahony,1 J. Goss,1 A. Rana.1

    1Division of Abdominal Transplantation, Baylor College of Medicine, Houston, TX; 2Department of Visceral and Transplant Surgery, University Hospital of Zurich, Zurich, Switzerland; 3Department of Internal Medicine, University of Arizona, Tucson, AZ; 4Department of Epidemiology and Biostatistics, Texas A&M Health Sciences Center, College Station, TX.

    Background: Access to liver transplantation is limited by a multitude of factors, which are quite variable among transplant candidates, and is underscored by the shortage…
  • 2016 American Transplant Congress

    Pre-Mortem Cannulation and NECMO Preservation for DCD Liver Transplantation.

    P. Ruiz,1 M. Gastaca,1 A. Valdivieso,1 A. Ventoso,1 I. Palomares,1 M. Prieto,1 J. Bustamante,2 P. Salvador,2 J. Ortiz de Urbina.1

    1Liver Surgery and Liver Transplant Unit, Cruces University Hospital, Bilbao, Vizcaya, Spain; 2Hepatology and Liver Transplant Unit, Cruces University Hospital, Bilbao, Vizcaya, Spain.

    Introduction: Herein, we present the short-term results of a controlled DCD liver transplantation program with pre-mortem cannulation and normothermic extracorporeal membrane oxygenation (NECMO) preservation.Material and…
  • 2016 American Transplant Congress

    Increased Frequency of Post-Recovery Liver Reallocation: The Law of Unintended Consequences?

    J. Orlowski, C. Muse, J. Whaley, R. Squires.

    LifeShare of Oklahoma, Oklahoma City, OK.

    Background: In June 2013, U.S. liver allocation changed from a local-regional-national model to “Share 35”, broadening sharing to a regional level based upon recipient listed…
  • 2016 American Transplant Congress

    Defining Frailty in Liver Transplant Recipients.

    L. Louwers,1 K. Eid,1 J. Plescia,1 N. Presser,1 J. Muntean,1 M. Kattan,2 K. Chagrin,2 C. Miller,1 D. Kelly.1

    1Surgery, Cleveland Clinic, Cleveland, OH; 2Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH.

    PURPOSETo define frailty in the liver transplant (OLT) population to optimize care and assist in predicting post OLT outcomes.METHODSAll adult primary OLT patients from 01/2010…
  • 2016 American Transplant Congress

    Factors Associated with Increased Risk of MELD Progression Among a Large Population of Patients with Cirrhosis and an Initial Low MELD Score (<15).

    K. Atiemo, L. Zhao, A. Skaro, L. VanWagner, S. Goel, A. Kho, B. Ho, R. Kang, S. Montag, J. Holl, M. Abecassis, D. Ladner.

    Northwestern University, Chicago.

    AimsLiving donor liver transplantation (LDLT) is an underutilized resource. Timely identification of patients with cirrhosis and a low MELD who's MELD score is likely to…
  • 2016 American Transplant Congress

    Good Livers with a Bad Reputation: Favorable Outcome with Imported Grafts.

    M. Akoad, M. Simpson, J. Pomposelli, E. Pomfret.

    Transplantation, Lahey Hospital and Medical Center, Burlington, MA.

    Background: Each year in the US, 450-500 livers are discarded as unacceptable for transplant. Currently, there is controversy about the implications of broader sharing and…
  • 2016 American Transplant Congress

    The Role of Obesity in Survival Outcomes of Liver Transplant Recipients with High MELD Score.

    S.-H. Chang,1 N. Carlsson,1 X. Liu,2 J. Wellen,3 J. Hagopian,4 T. Horwedel,4 T. Alhamad.5

    1Division of Public Health Sciences, Department of Surgery, Washington University in St. Louis, St. Louis; 2Division of Biostatistics, Washington University in St. Louis, St. Louis; 3Department of Surgery, Washington University in St. Louis, St. Louis; 4Department of Pharmacy, Barnes Jewish Hospital, St. Louis; 5Renal Division, Washington University, St. Louis.

    Background:Obesity has become an epidemic in the United States. More than one third of adults are obese, defined as having body mass index (BMI) greater…
  • 2016 American Transplant Congress

    MELD as a Metric for Survival Benefit of Liver Transplantation.

    X. Luo, A. Massie, S. Bae, M. Bowring, D. Segev.

    JHU, Baltimore.

    MELD predicts waitlist mortality and thus, patients with higher MELD get higher priority in liver allocation. However, this disease severity based allocation system is controversial…
  • 2016 American Transplant Congress

    Strategies to Prevent Ischemic Cholangiopathy After Donation After Circulatory Death Donor Liver Transplantation.

    C. Kubal,1 R. Mangus,1 J. Fridell,1 B. Ekser,1 N. Rush,2 R. Saxena,2 J. Tector.1

    1Department of Surgery, Indiana University School of Medicine, Indianapolis, IN; 2Department of Pathology, Indiana University School of Medicine, Indianapolis, IN.

    Background: Donation after circulatory death (DCD) donor pool remains underutilized for liver transplantation (LT). We describe optimizing the “modifiable risk factors”, such as CIT, recipient…
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