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American Transplant Congress abstracts

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Articles tagged "Liver cirrhosis"

  • 2018 American Transplant Congress

    Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) for the Treatment of Medically Refractory Hepatic Encephalopathy (HE) in Patients with ESLD and Significant Portal-Venous Shunting

    N. Presser, J. DiNorcia, V. Agopian, H. Yersiz, D. Farmer, R. Busuttil, F. Kaldas.

    Liver and Pancreas Transplantation, Dumont-UCLA Liver Transplant Center, Los Angeles, CA.

    Background: Patients with medical refractory HE represent a challenging group of patients. Plagued by repeated hospitalizations, long lengths of stay (LOS) and high healthcare costs,…
  • 2018 American Transplant Congress

    MELD-Na Score Based Liver Allocation: Hyponatremia is No Longer a Risk Factor for Waitlist Mortality

    S. Nagai,1 L. Chau,1 M. Safwan,1 R. Schilke,1 M. Rizzari,1 K. Collins,1 A. Yoshida,1 M. Abouljoud,1 D. Moonka.2

    1Transplant and Hepatobiliary Surgery, Henry Ford Hospital, Detroit, MI; 2Gastroenterology, Henry Ford Hospital, Detroit, MI.

    Background: Hyponatremia is associated with an increased risk of liver transplant (LT) waitlist mortality. The aim of this study was to compare waitlist outcomes between…
  • 2018 American Transplant Congress

    Contemporary Practice Patterns & Outcomes after Transjugular Intrahepatic Portosystemic Shunt (TIPS) Placement: A Multicenter US Experience of 1,146 Patients

    J. Boike,1 J. Ge,5 M. German,3 N. Jest,2 G. Morelli,2 E. Spengler,3 A. Said,3 A. Lee,3 A. Hristov,3 K. Kolli,4 J. Lai,4 A. Desai,5 S. Junna,5 B. Pokhrel,5 T. Couri,6 S. Paul,6 N. Christian-Miller,7 C. Frenette,7 M. Laurito,8 E. Verna,8 U. Rahim,9 A. Goel,9 A. Das,1 S. Pine,1 D. Gregory,1 L. VanWagner.1

    1Gastro & Hep, Northwestern, Chicago; 2Gastro & Hep, Univ of Florida, Gainesville; 3Gastro & Hep, Univ of Wisconsin, Madison; 4Med, Gastro & Hep, Radiology, UCSF, San Francisco; 5Med, Gastro & Hep, Univ of Arizona, Tucson; 6Med, Gastro & Hep, Univ of Chicago, Chicago; 7Gastro & Hep, Scripps Clinic, La Jolla; 8Gastro & Hep, Columbia, New York; 9Gastro & Hep, Stanford, Palo Alto.

    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

    Advanced Liver Care and Salvage Transplantation Improves Outcomes for Patients with Cirrhosis Requiring Abdominal General Surgical Procedures

    D. Milgrom,1 N. Valsangkar,1 J. Kays,1 T. Liang,1 J. Butler,1 C. Kubal,1 M. Maluccio,1 A. Tector,2 L. Koniaris.1

    1Department of Surgery, Indiana University School of Medicine, Indianapolis, IN; 2Department of Transplant Surgery, University of Alabama School of Medicine, Birmingham, AB.

    Introduction: Historically, abdominal general surgical procedures on cirrhotic patients carry up to an 80% mortality rate. We hypothesized outcomes of cirrhotic patients requiring abdominal surgical…
  • 2018 American Transplant Congress

    Risk Factors of De Novo Malignancies after Liver Transplantation

    M. Altieri,1 O. Seree,2 J. Dumortier,3 GREF2 Groupe de Recherche Français en Greffe de Foie.

    1Service d'HepatoGastroenterologie, Nutrition et Oncologie Digestive, CHU de Caen, Caen, France; 2Réseau Régional de Cancérologie Onco-Basse-Normandie, Herouville Saint-Clair, France; 3Service d'HepatoGastroenterologie, Hospices Civils de Lyon, Hôpital de la Croix Rousse, Lyon, France.

    De novo malignancies after liver transplantation (LT) are one of the leading causes of late mortality, with a reported risk of malignancies twice as high…
  • 2017 American Transplant Congress

    A Novel Equation, GRAIL (GfR Assessment in Liver Disease) Correctly Classifies Patients with Reduced GFR and Predicts Development of ESRD.

    S. Asrani,1 L. Jennings,1 M. Nadim,2 J. Levitsky,3 J. Trotter,1 G. Klintmalm.1

    1BUMC, Dallas, TX; 2USC, LA, CA; 3NW, Chicago, IL

    Estimating glomerular filtration rate(CKD-EPI, MDRD-4, MDRD-6) is poor in liver patients with renal dysfunction(GFR<30ml/min). We developed a model for GFR Assessment In Liver disease(GRAIL) before…
  • 2017 American Transplant Congress

    Which Way to Go, Liver Resection or Liver Transplantation for Hepatocellular Carcinoma in Child A Liver Cirrhosis.

    K. Yoon, K.-W. Lee, H. Kim, D. Oh, H.-S. Kim, S. Ahn, S. Hong, N.-J. Yi, K.-S. Suh.

    Department of Surgery, Seoul National University College of Medicine, Seoul, Jongrogu, Republic of Korea

    Introduction: Hepatocellular carcinoma(HCC) has high recurrence rate after liver resection(LR). The recurrence within Milan after LR is only 61- 79% in patient with child A.…
  • 2017 American Transplant Congress

    Comparison of Local Recurrence Rates Between Endhole vs Anti-Reflux Catheters in Patients Undergoing DEB-TACE for Solitary LR-5 HCC Tumors.

    A. Arepally, L. Stein, R. Shrestha, M. Tully, S. Citron, A. Cherian, H. Pollinger, M. Bosley, R. Raymond.

    Division of Interventional Radiology, Piedmont Healthcare, Atlanta, GA; Piedmont Transplant Institute, Piedmont Healthcare, Atlanta, GA

    PurposeTo compare local recurrence rates (LRR), tumor response rates, and dose delivered between standard endhole catheters (EC) versus anti-reflux catheters (AR) in patients who underwent…
  • 2017 American Transplant Congress

    Percutaneous Direct Intrahepatic Portosystemic Shunt as a Bridge to Liver Transplantation in Pediatric Patients with Variceal Bleeding.

    D. Yoeli,1 N. Galvan,1 D. Ashton,2 K. Kumm,1 M. Kueht,1 E. Witte,1 T. Miloh,3 R. Cotton,1 A. Rana,1 C. O'Mahony,1 J. Goss.1

    1Department of Surgery, Baylor College of Medicine, Houston, TX; 2Department of Radiology, Baylor College of Medicine, Houston, TX; 3Department of Pediatrics, Baylor College of Medicine, Houston, TX

    Context: Transjugular intrahepatic portosystemic shunt (TIPS) creation is technically challenging in children due to their small size. The percutaneous direct intrahepatic portosystemic shunt (DIPS) has…
  • 2017 American Transplant Congress

    Porta Systemic Shunts Helps Us to Delay or Avoid Liver Transplantation in Patients with Portal Hypertension Post Kasai Operation for Biliary Atresia.

    M. George, G. Thomas, A. Shun.

    Paediatric Surgery and Transplant Surgery, Children's Hospital at Westmead, Sydney, NSW, Australia

    We present a series of 10 patients who had Kasai operation for biliary atresia in the neonatal period. These patients had optimally functioning liver in…
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