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Articles tagged "Liver cirrhosis"

  • 2016 American Transplant Congress

    High Efficacy of Ledipasvir/Sofosbuvir with Ribavirin in HCV Genotype-1 Infected Patients with Decompensated Liver Disease: Analysis by MELD Score from the SOLAR-1 and SOLAR-2 Trials.

    M. Charlton,1 E. Yoshida,2 M. Bouliere,3 S. Flamm,4 A. Muir,5 M. Fried,6 N. Terrault,7 S. Arterburn,8 C. Yun,8 P. Pang,8 A. Osinusi,8 J. Spellman,8 M. Natha,8 D. Brainard,8 J. McHutchison,8 M. Manns,9 N. Afdhal.10

    1Intermountain Medical Center, Salt Lake City; 2Vancouver General Hospital, Vancouver, Canada; 3Hopital Saint Joseph, Marseilles, France; 4Northwestern University, Chicago; 5Duke University, Durham; 6University of North Carolina, Chapel Hill; 7UCSF, SF; 8Gilead Sciences Inc, Foster City; 9Hannover Medical School, Hannover, Germany; 10BIDMC, Boston.

    Introduction: HCV infected patients with decompensated liver disease have significant morbidity & mortality. The efficacy & safety of LDV/SOF + RBV was evaluated in a…
  • 2016 American Transplant Congress

    Time Course of Hepatic Graft Function Improvement After Ledipasivir/Sofosbuvir Treatment in Liver Transplant Recipients with HCV and Fibrosis or Cirrhosis Who Achieved SVR.

    S. Helmke,1 J. O'Leary,2 J. Burton,1 M. Cookson,1 S. Lauriski,1 J. Trotter,2 J. McHutchison,3 G. Everson.1

    1University of Colorado, Aurora, CO; 2Baylor University Medical Center, Dallas, TX; 3Gilead Sciences, Inc., Foster City, CA.

    Background: In SOLAR-1, liver transplant recipients with HCV and either fibrosis or cirrhosis were treated at baseline with ledipasvir/sofosbuvir and ribavirin for 12 or 24…
  • 2016 American Transplant Congress

    Impact of Left Ventricular Diastolic Dysfunction on Patients Being Evaluated for Liver Transplantation.

    K. Forde,1 R. McLean,1 W. O'Donnell,1 K. Krok,2 M. Patel,1 G. Lin,3 J. Oh,3 M. Krowka,3 M. Fallon,4 S. Kawut.1

    1Medicine, University of Pennsylvania, Philadelphia, PA; 2Medicine, Penn State Hershey, Hershey, PA; 3Medicine, Mayo Clinic, Rochester, MN; 4Medicine, University of Texas Medical School – Houston, Houston, TX.

    IntroductionDiastolic dysfunction (DD) is the cardinal finding in cirrhotic cardiomyopathy, a condition in patients with liver disease that is associated with an increased risk of…
  • 2015 American Transplant Congress

    Estimation of Glomerular Filtration Rate With Serum Cystatin C Accurately Discriminates Renal Dysfunction in Liver Transplant Candidates With End-Stage Liver Disease

    S. Gonzalez,1 J. Trotter,1 H. Szerlip,2 M. Levy,3 A. Chandrakantan,4 A. Yango,4 A. Rajagopal,4 Y. Barri,4 K. Rice,4 M. Saim,2 L. Melton,4 M. Emmett,2 G. Klintmalm,3 B. Fischbach.4

    1Hepatology, Baylor Simmons Transplant Institute, Fort Worth, TX; 2Nephrology, Baylor University Medical Center, Dallas, TX; 3Transplant Surgery, Baylor Simmons Transplant Institute, Fort Worth, TX; 4Nephrology, Baylor Simmons Transplant Institute, Fort Worth, TX.

    Background: Renal insufficiency is common in end-stage liver disease (ESLD) and is linked to survival in patients awaiting liver transplantation. Serum creatinine correlates poorly with…
  • 2015 American Transplant Congress

    MELD Velocity – An Early Predictor of Increased Mortality Risk

    D. Ladner,1 K. Skibba,2 J. Kang,1 B. Ho,1 A. Kho,1 L. Kulik,1 A. Daud,1 M. Abecassis,1 A. Skaro.1

    1Northwestern University, Chicago, IL; 2Rosalind Franklin University of Medicine and Science, Chicago, IL.

    INTRODUCTION: MELD is a satisfactory predictor of 3-month mortality in patients with cirrhosis. However, sub-populations of patients at increased hazard of mortality, but not well…
  • 2015 American Transplant Congress

    Functional Decline in Liver Transplant Candidates: Results from the Functional Assessment in Liver Transplantation (FrAILT) Study

    J. Lai, K. Covinsky, J. Dodge, S. Sen, S. Feng.

    UCSF, San Francisco, CA.

    Background: Cirrhosis is characterized by sarcopenia and malnutrition, leading to progressive functional decline. No studies have objectively measured physical functional decline in cirrhotics awaiting liver…
  • 2015 American Transplant Congress

    Pre-Transplant Portal Vein Recanalization-Transjugular Intrahepatic Portosystemic Shunt in Patients With Chronic Portal Vein Thrombosis

    B. Thornburg, K. Desai, T. Baker, J. Fryer, M. Abecassis, J. Caicedo, L. Kulik, R. Salem.

    Northwestern Memorial Hospital, Chicago, IL.

    Background: Chronic, occlusive portal vein thrombosis (PVT) associated with cirrhosis represents a relative contraindication to liver transplantation (LT) in some centers. From a surgical perspective,…
  • 2015 American Transplant Congress

    High Tolerability With Sofosbuvir-Based Direct-Acting Antiviral Therapy in Liver Transplant Recipients With Recurrent Hepatitis C

    B. Osborne,1 A. Modi,1 M. Gautam,1 N. Murray,1 I. Gonzalez,2 J. McAfee,2 S. Gonzalez.1

    1Hepatology, Baylor Simmons Transplant Institute, Fort Worth, TX; 2Hepatology, Liver Consultants of Texas, Fort Worth, TX.

    Background: Reports on efficacy, safety, and tolerability of sofobuvir-based antiviral regimens in liver transplant recipients with recurrent hepatitis C are limited. Methods: We performed a…
  • 2015 American Transplant Congress

    Hospital Characteristics Mediate Variation in Cirrhosis Mortality in Transplant and Non-Transplant Facilities

    A. Mathur,1 A. Chakrabarti,2 K. Sheetz,2 J. Mellinger,3 M. Volk,3 N. Katariya,1 A. Singer,1 W. Hewitt,1 K. Reddy,1 A. Moss.1

    1Surgery, Mayo Clinic Arizona, Phoenix, AZ; 2Surgery, University of Michigan, Ann Arbor, MI; 3Medicine, University of Michigan, Ann Arbor, MI.

    Hospitals vary significantly in cirrhosis mortality. We aimed to determine whether hospital structural characteristics mediate this effect.Methods: We used 2009 data from the HCUP Nationwide…
  • 2015 American Transplant Congress

    Survival Benefit of Simultaneous Liver Kidney (SLK) Transplant in Liver Transplant Candidates With Renal Dysfunction

    B. Tanriover,1 S. Zhang,2 J. Marrero.3

    1Medicine/Nephrology, UT Southwestern, Dallas, TX; 2Clinical Sciences, UT Southwestern, Dallas, TX; 3Medicine/Hepatology, UT Southwestern, Dallas, TX.

    Survival benefit of SLK over liver transplant alone (LTA) in patients with same level of renal dysfunction and effect of organ quality on mortality are…
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