TY - JOUR
T1 - Comparison of two different techniques of reperfusion in adult orthotopic liver transplantation
AU - Gruttadauria, Salvatore
AU - Cintorino, Davide
AU - Musumeci, Alfredo
AU - Arcadipane, Antonio
AU - Burgio, Gaetano
AU - Clarizia, Sergio
AU - Piazza, Tommaso
AU - Spada, Marco
AU - Verzaro, Roberto
AU - Marsh, James W.
AU - Marcos, Amadeo
AU - Gridelli, Bruno
PY - 2006/3
Y1 - 2006/3
N2 - The aim of this study was to determine the impact of two reperfusion techniques on the peri-operative hemodynamic changes and early post-operative graft function of adult patients undergoing orthotopic liver transplantation. Material and Methods: From June 2003 to May 2004, 50 consecutive liver transplants were performed and divided into two groups: Group A, 25 patients, portal vein flush with 500cm3 of Ringer's lactate without vena caval venting. Group B, 25 patients, vena caval venting with no portal vien flush. Donor and recipient characteristics were similar in both groups. Sixty-four different parameters were analyzed, and Pearson's Χ2 test and t-test were used for statistical analysis, p≤0.05. Results: One patient (4%) in group B experienced a post-reperfusion syndrome (PRS). Pearson's Χ2 test found a significant relationship between the analyzed parameters and the two different reperfusion techniques for 10 parameters (t-test analysis showed a significant difference between the two groups in favor of group A). Conclusions: In our transplant center, portal vein flush without vena caval venting provided a lower incidence of hemodynamic changes in the peri-operative period after liver transplantation and earlier recovery of the graft function.
AB - The aim of this study was to determine the impact of two reperfusion techniques on the peri-operative hemodynamic changes and early post-operative graft function of adult patients undergoing orthotopic liver transplantation. Material and Methods: From June 2003 to May 2004, 50 consecutive liver transplants were performed and divided into two groups: Group A, 25 patients, portal vein flush with 500cm3 of Ringer's lactate without vena caval venting. Group B, 25 patients, vena caval venting with no portal vien flush. Donor and recipient characteristics were similar in both groups. Sixty-four different parameters were analyzed, and Pearson's Χ2 test and t-test were used for statistical analysis, p≤0.05. Results: One patient (4%) in group B experienced a post-reperfusion syndrome (PRS). Pearson's Χ2 test found a significant relationship between the analyzed parameters and the two different reperfusion techniques for 10 parameters (t-test analysis showed a significant difference between the two groups in favor of group A). Conclusions: In our transplant center, portal vein flush without vena caval venting provided a lower incidence of hemodynamic changes in the peri-operative period after liver transplantation and earlier recovery of the graft function.
KW - Orthotopic liver transplantation
KW - Post-reperfusion syndrome
KW - Reperfusion technique
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U2 - 10.1111/j.1399-0012.2005.00458.x
DO - 10.1111/j.1399-0012.2005.00458.x
M3 - Article
C2 - 16640521
AN - SCOPUS:33646026101
VL - 20
SP - 159
EP - 162
JO - Clinical Transplantation
JF - Clinical Transplantation
SN - 0902-0063
IS - 2
ER -