2018 American Transplant Congress
Survival Advantage from Accepting a Circulatory Death Liver Transplant
Background As liver failure increases in the UK, so does demand for liver transplantation. In response, UK donation after circulatory death (DCD) activity has approximately…2018 American Transplant Congress
The Neutrophil to Lymphocyte Ratio is Confounded by MELD in Hepatocellular Carcinoma Patients Undergoing Liver Transplantation
Department of General Surgery Digestive Disease Institute, Cleveland Clinic, Cleveland, OH.
Background: Biological markers such as the pre-operative neutrophil to lymphocyte ratio (NLR) have been suggested to be valuable indicators of recurrence and overall survival after…2018 American Transplant Congress
Large Decrease in Liver Waiting List Dropout Rate for MELD > 14
1SRTR, Minneapolis; 2Stanford University, Stanford; 3Univ of Minnesota, Minneapolis.
Median MELD at transplant has increased steadily over the past 10 years. One possible mechanism is decreased waitlist dropout rates, particularly among liver candidates with…2018 American Transplant Congress
Contemporary Practice Patterns & Outcomes after Transjugular Intrahepatic Portosystemic Shunt (TIPS) Placement: A Multicenter US Experience of 1,146 Patients
Background: TIPS is effective for treating complications of portal hypertension. Historic, single center data suggest poor outcomes for MELD scores >15. We assessed contemporary outcomes…2018 American Transplant Congress
Outcomes of Livers Allocated to High UNOS Match Sequence Number Recipients at a High Volume Transplant Center
Ochsner Medical Center, New Orleans, LA.
IntroductionImproved utilization of expanded criteria donor (ECD) allografts offers an opportunity to expand the donor pool, reduce wait-times and waitlist mortality. We analyzed outcomes at…2018 American Transplant Congress
Changes in Graft Gene Expression Contribute to Coagulopathy in UDCD Liver Transplantation
Hospital Clínic, Barcelona, Spain.
Uncontrolled donation after circulatory death donors suffer cardiac arrest followed by unsuccessful resuscitation. Their livers have been successfully transplanted, though strict maintenance and selection criteria…2018 American Transplant Congress
Non-US Citizen Liver Transplant Recipients (LTR) Have Superior Outcomes Compared to US Citizen LTR: A Retrospective Study of 50,422 Subjects Using the Organ Procurement and Transplant Network (OPTN) from 1992-2015
The US performs over 7,000 liver transplants per year and a substantial subset of Non-US citizen recipients exist. United Network for Organ Sharing (UNOS) policy…2018 American Transplant Congress
Offer Acceptance Practices and Geographic Variability in Allocation MELD at Transplant
1SRTR, Minneapolis; 2U.S. Navy, Anapolis.
Offer acceptance practices may cause geographic variability in allocation model for end-stage liver disease (aMELD) score at transplant and could magnify the apparent impact of…2018 American Transplant Congress
Predicting Liver Allograft Discard: The Discard Risk Index
Abdominal Transplantation, Baylor College of Medicine, Houston, TX.
Background: An index that predicts liver allograft discard can effectively grade allografts and can be used to preferentially allocate marginal allografts to aggressive centers. Aim:…2018 American Transplant Congress
DCD Utilization in Cholestatic Liver Disease: Distinct Outcomes between PSC and PBC Recipients
Abdominal Transplant Surgery, Oregon Health & Science University, Portland, OR.
Background: Concern for inferior outcomes in patients with primary sclerosing cholangitis (PSC) and primary biliary cholangitis (PBC) have limited utilization of donation after cardiac death…
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