Analysis of Hepatic Arterial Thrombosis after Liver Transplantation: An Experience at a Single Transplantation Center
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概要
- 論文の詳細を見る
The author has experienced to practice the clinical works of cadaveric liver transplantation at a single transplantation center in Australia between 1999 and 2000. Hepatic arterial thrombosis causes higher rates of morbidity and mortality after liver transplantation. To know the associated factors, pathogenesis and patient outcome, data of 99 adult patients who underwent liver transplantation by the database for past two years were analysed. Ten patients (10%) had hepatic arterial thrombosis (HAT group). In donor demographics, brain death caused by cerebral stroke in the HAT group (90%) was significantly more than that in the non HAT group (49%) (p<0.05). The mean amount of blood transfusion in the HAT group (26665ml) was significantly greater than that in the control group (15606m1) (p<0.05). The mean hepatic arterial flow measured by Doppler flowmeter in the HAT group (214m1/min.) was lower than that in the control group (399m1/min) (p<0.01). The rate of in-hospital death or retransplantation caused by severely biliary abscess with hepatic infarction or graft failure in the HAT group (40%) tended to be higher compared to the control group (13%) (p=0.053). In conclusion, decrease of bleeding and blood transfusion, and obtaining the adequate arterial blood flow during operation were important to prevent hepatic arterial thrombosis causing higher morbidity and mortality after liver transplantation.
- 長崎大学の論文
著者
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NANASHIMA ATSUSHI
First Department of Surgery, Nagasaki University School of Medicine
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Nakashima Atsushi
First Department of Surgery, Nagasaki University School of Medicine
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Nakashima Atsushi
First Department Of Surgery Nagasaki University School Of Medicine
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