ATC Abstracts

American Transplant Congress abstracts

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  • 2015 American Transplant Congress

    Consideration of the Futility of Transplant: 50% Mortality at 5 Years

    S. Asrani, G. Saracino, J. O'Leary, G. Klintmalm, J. Trotter.

    Baylor University Medical Center, Dallas, TX.

    Introduction: Transplant recipients are globally sicker at the time of liver transplantation (LT) in the current era. We sought to devise and validate a model…
  • 2015 American Transplant Congress

    Nonalcoholic Steatohepatitis as Indication for Liver Transplantation in Europe. Do We Choose the Right Organs for the Right Recipients?

    B. Kern,1 P. Newsome,2 V. Karam,3 R. Adam,3 G. Berlakovich,4 J. Fritz,5 W. Popp,1 B. Feurstein,1 A. Pascher,6 P. Muiesan,7 S. Schneeberger.1

    1Visceral- Transplant, Thoracic Surgery, Innsbruck Medical University, Innsbruck, Austria; 2NIHR Biomedical Research Unit and The Centre for Liver Research, University of Birmingham, Birmingham, United Kingdom; 3Hepatobiliary Center, Paul Brousse Hospital - Hôpitaux de Paris Université Paris-Sud, Villejuif, France; 4Transplant Surgery, Medical University of Vienna, Vienna, Austria; 5Medical Statistics, Innsbruck Medical University, Innsbruck, Austria; 6General, Visceral, Transplant Surgery, Charite Berlin, Berlin, Germany; 7Liver and Hepato-Pancreato-Biliary Unit, University of Birmingham, Birmingham, United Kingdom.

    Background:Nonalcoholic steatohepatitis (NASH) has emerged to become the third leading cause for liver transplantation (LT) in the US and since 2002, it has increased constantly.Methods:We…
  • 2015 American Transplant Congress

    Sex Differences in Mortality Rate Among Patients Waiting for Liver Transplantation

    Z. Cui,1,2 X. Luo,2 A. Massie,2 D. Segev.2

    1Columbia University, New York; 2Johns Hopkins University, Baltimore.

    Livers are allocated according to MELD score without regard to patient demographics. However, MELD-adjusted risk of death may vary by sex, since serum creatinine level…
  • 2015 American Transplant Congress

    Use of MELD Exception Points in Patients With Hepatic Neuroendocrine Tumor Metastases: Variable Use and Proposed Criterion for Approval

    Y. Nobel,1 D. Goldberg.2,3,4

    1Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; 2Division of Gastroenterology, Department of Medicine, University of Pennsylvania, Philadelphia, PA; 3Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; 4Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA.

    Purpose: Most patients with metastatic neuroendocrine tumors (NETs) have preserved hepatic synthetic function, and their providers may seek increased waitlist priority via MELD exception points.…
  • 2015 American Transplant Congress

    Distal Splenorenal Shunt (DSRS): A Durable Bridge to Liver Transplantation

    J. Pomposelli, A. Tongyoo, R. Jenkins, M. Akoad, W. Lewis, E. Pomfret.

    Transplantation and Hepatobiliary Diseases, Lahey Clinic Medical Center, Burlington, MA.

    Background: Variceal bleeding has a high rate of in-hospital mortality approaching 50%. Patients with well-compensated cirrhosis and recurrent variceal bleeding may benefit from long-term prophylaxis…
  • 2015 American Transplant Congress

    Utilization of Liver Allografts from Deceased Donors. Non Medical Causes for Discard. A Review of the SRTR Annual Report

    M. Asolati,1 C. Kulig,2 B. Bilir,2 T. Pillen,1 P. Gauthier,2 B. Bista,2 T. Heffron.1

    1Surgery, Porter Adventist Hospital, Denver, CO; 2Medicine, Porter Adventist Hospital, Denver, CO.

    INTRODUCTION: Discrepancy between demand (end stage organ disease) and supply (organs) remains one of the limiting factors in solid organ transplantation and underlies the dynamics…
  • 2015 American Transplant Congress

    Outcomes of Living and Deceased Donor Liver Transplant Recipients According to the MELD Score

    J. Lee, J. Lee, D. Joo, D. Han, M. Ju, J. Choi, S. Kim, M. Kim.

    Department of Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea.

    BackgroundLiving donor liver transplantation (LDLT) has developed as an alternative to decease donor liver transplantation (DDLT) to overcome the critical shortage of deceased organ donations.…
  • 2015 American Transplant Congress

    Comparison of Liver Transplant Outcomes for Recipients With MELD <35 Vs. >35

    V. Kirchner, S. Chinnakotla, R. Kandaswamy, W. Payne, T. Pruett.

    Div. of Transplantation, Department of Surgery, University of Minnesota, Mpls, MN.

    Introduction: Current allocation favors liver recipients with MELD > 35 . We compared liver tx outcomes among two groups based on MELD score at the…
  • 2015 American Transplant Congress

    Single-Center Analysis of Adult, Combined Heart-Liver Transplant (CHLT) Recipients

    H. Monsour Jr,1 M. Boktour,2 A. Abimbola,1 M. Elnemr,1 S. Gordon Burroughs,2 D. Victor III,1 A. Saharia,2 B. Trachtenberg,3 A. Bhimaraj,3 A. Gaber,2 J. Estep,3 R. Ghobrial.2

    1Department of Medicine, Houston Methodist Hospital, Houston, TX; 2Department of Surgery, Houston Methodist Hospital, Houston, TX; 3Cardiology Department, Houston Methodist Hospital, Houston, TX.

    Background: Combined heart-liver transplantation (CHLT) is life-saving for patients with end-stage heart-liver diseases. This is a review of patients who underwent CHLT at a single-center.Methods:…
  • 2015 American Transplant Congress

    Impact of Donor Post-Extubation O2 Delivery on Recipient Hypoxic Cholangiopathy in Donation After Circulatory Death Liver Transplantation: The University of Colorado Experience

    T. Chirichella,1 C. Dunham,2 M. Zimmerman,4 K. Conzen,1 S. Kelley,3 E. Phelan,1 T. Steinberg,1 T. Nydam,1 T. Bak,1 I. Kam,1 M. Wachs.1

    1Transplant Surgery, University of Colorado Hospital, Aurora, CO; 2Department of Surgery, St. Elizabeth Health Center, Youngstown, OH; 3Donor Alliance Organ Procurement Organization, Denver, CO; 4Transplant Surgery, Medical College of Wisconsin, Milwaukee, WI.

    The critical shortage of deceased organ donors has led to increased utilization of DCD liver grafts. The purpose of this study was to evaluate DCD…
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