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Articles tagged "Liver transplantation"

  • 2018 American Transplant Congress

    Pre Liver Transplant (LT) Prediction of Surgical Complexity by Recipient Risk Grading and Optimizing Outcomes: The Ochsner Experience

    H. Sharma,1 H. Bohorquez,1,2 D. Bruce,1 J. Seal,1 A. Cohen,1,2 E. Bugeaud,1 I. Carmody,1,2 D. Sonnier,1 A. Mathur,1 D. Marroquin,1 M. Voltz,1 L. DeGregorio,1 G. Loss.1,2

    1Multi-Organ Transplant Institute, Ochsner Health System, New Orleans, LA; 2School of Medicine, University of Queensland, New Orleans, LA.

    Background: Ochsner Unit has been assigning the potential recipient with surgical complexity category since 2015 to preempt surgical risk .Aim: To review outcomes after the…
  • 2018 American Transplant Congress

    Mitigating Risk: Post-Exposure Prophylaxis in Liver Transplant Recipients from Donors with Potential Infectious Exposure

    A. Nolan, D. Yarosh, S. Shaikh.

    Department of Pharmacy, Medstar Georgetown University Hospital, Washington, DC.

    Purpose: Increased risk organ donors are being more commonly utilized given organ shortages. However, there is a small risk of transmission of diseases such as…
  • 2018 American Transplant Congress

    The Role of Ex Vivo Normothermic Preservation in Minimizing Postreperfusion Syndrome in Liver Transplantation

    A. Hassan, J. Cywinski, Q. Liu, D. Pezzati, D. Yang, L. Liu, G. Iuppa, K. Hashimoto, F. Aucejo, M. Fujiki, B. Eghtesad, S. Irefin, J. Fung, K. Abu-Elmagd, C. Miller, C. Quintini.

    Transplant Surgery, Cleveland Clinic, Cleveland.

    Background:Graft reperfusion holds a major challenge during liver transplantation. NMP may improve post-reperfusion hemodynamics, reduce vasopressor and blood product transfusion.Methods:15 patients with liver transplantation after…
  • 2018 American Transplant Congress

    Comparison of Outcome in Liver Transplant Patients with Renal Insufficiency and Intraoperative CVVH

    J. Gosnell, M. Safwan, K. Collins, M. Rizzari, A. Yoshida, M. Abouljoud, S. Nagai.

    Transplant Institute, Henry Ford Health System, Detroit, MI.

    Background: Intraoperative continuous veno-venous hemofiltration (CVVH) is an important tool to manage liver transplant (LT) patients with renal insufficiencies. Methods: All LT patients with renal…
  • 2018 American Transplant Congress

    Water-Jet Dissection for Donor Hepatectomy during Living Donor Liver Transplantation

    K. Gotoh,1 H. Eguchi,1 Y. Iwagami,1 D. Yamada,1 T. Asaoka,1 T. Noda,1 K. Kawamoto,1 S. Kobayashi,1 K. Umeshita,2 Y. Doki,1 M. Mori.1

    1Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan; 2Health Science, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.

    Background The most important issue in living donor liver transplantation (LDLT) is donor safety. Although donor hepatectomy has evolved technically over the years, it is…
  • 2018 American Transplant Congress

    The AKI-Predict-Score: A New Prediction Model for Acute Kidney Injury after Liver Transplantation

    M. Kalisvaart,1 A. Schlegel,1 I. Umbro,2 K. Roberts,1 D. Mirza,1 T. Perera,1 J. Isaac,1 A. P. Mitterhofer,2 J. de Jonge,3 P. Muiesan.1

    1Liver Unit, Queen Elizabeth Hospital, Birmingham, United Kingdom; 2Internal Medicine, Sapienza University, Rome, Italy; 3Surgery, Erasmus MC University Medical Center, Rotterdam, Netherlands.

    BackgroundPostoperative acute kidney injury (AKI) is a frequent complication after liver transplantation and associated with impaired survival rates, chronic kidney disease and higher costs. Although…
  • 2017 American Transplant Congress

    Sirolimus Prolonged Survival After Living Donor Liver Transplantation for HCC Beynd Milan Criteria; Outcome of a Multicenter Prospective Randomized Phase II Trial (ClinicalTrials.gov Identifier: NCT01374750).

    K.-W. Lee,1 S.-H. Kim,2 N.-J. Yi,1 S.-K. Hong,1 G. Yoon,1 H. Kim,1 D. Oh,1 S.-S. Han,2 S.-J. Park,2 K.-S. Suh.1

    1Department of Surgery, Seoul National University, Seoul, Republic of Korea; 2Center for Liver Cancer, National Cancer Center, Goyangsi, Republic of Korea

    Background:It is unclear whether the reported benefit of mTORi in LT for HCC is from direct effect of mTOR inhibitors. We aimed to compare directly…
  • 2017 American Transplant Congress

    TIM-3 – CEACAM1 Checkpoint Regulation of T-Cell Activation and Hepatocellular Function in Liver Transplantation.

    K. Nakamura,1 S. Kageyama,1 M. Kujawski,3 R. Sosa,2 E. Reed,2 A. Zarrinpar,1 R. Busuttil,1 J. Kupiec-Weglinski.1

    1Dept. Surgery, UCLA, Los Angeles, CA; 2Dept. Pathology, UCLA, Los Angeles, CA; 3Dept. Molecular Immunology, City of Hope, Duarte, CA

    Background/Aim: We have documented crucial role of TIM-3 dependent T cell dysfunction in mouse orthotopic liver transplantation (OLT). CEACAM1 (CD66a; CM1; Carcinoembryonic Antigen-Related Cell Adhesion…
  • 2017 American Transplant Congress

    Comparing the Role of Post-Transplant Readmissions and Bed Days on Total One Year Cost of Care.

    W. Bannister,1 M. Schnitzler,2 J. Tao,1 A. Bonagura,1 B. Laihinen,1 F. Irwin,1 C. Horstman.1

    1Complex Medical Conditions, Optum, UnitedHealth Group, Eden Prairie, MN; 2Surgery, St. Louis University, St. Louis, MO

    This study examines the marginal impact of readmissions and total bed days during the 90-day period following transplant in order to better understand drivers of…
  • 2017 American Transplant Congress

    Center Volume Does Not Influence the Risk Associated with Using High DRI Donor Livers.

    S. Black,1 E. Beal,1 K. Mumtaz,2 D. Hayes Jr.,3 A. El-Hinnawi,1 K. Washburn,1 D. Tumin.4

    1Department of Surgery, OSUWMC, Columbus, OH; 2Department of Internal Medicine, OSUWMC, Columbus, OH; 3Department of Internal Medicine, OSUWMC, Columbus, OH; 4Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, OH

    Background: High risk donor allografts potentially reduce survival after liver transplantation (LT), but increase access. We evaluated whether differences in patient mortality associated with using…
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