Perioperative Coagulation Profile in Living Liver Donors as Assessed by Rotational Thromboelastometry
被引:12
作者:
Gouvea, Glauber
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h-index: 0
机构:
Bonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, Brazil
Bonsucesso Gen Hosp, Liver Transplantat Unit, Rio De Janeiro, Brazil
Univ Fed Rio de Janeiro, Dept Anesthesiol, Rio De Janeiro, BrazilBonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, Brazil
Gouvea, Glauber
[1
,2
,4
]
Diaz, Rodrigo
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h-index: 0
机构:
Bonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, Brazil
Bonsucesso Gen Hosp, Liver Transplantat Unit, Rio De Janeiro, Brazil
Univ Fed Rio de Janeiro, Dept Anesthesiol, Rio De Janeiro, BrazilBonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, Brazil
Diaz, Rodrigo
[1
,2
,4
]
Auler, Lucio
论文数: 0引用数: 0
h-index: 0
机构:
Bonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, Brazil
Bonsucesso Gen Hosp, Liver Transplantat Unit, Rio De Janeiro, BrazilBonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, Brazil
Auler, Lucio
[1
,2
]
Toledo, Renato
论文数: 0引用数: 0
h-index: 0
机构:
Bonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, Brazil
Bonsucesso Gen Hosp, Liver Transplantat Unit, Rio De Janeiro, Brazil
Natl Heart Inst Laranjeiras, Dept Anesthesiol, Rio De Janeiro, BrazilBonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, Brazil
Toledo, Renato
[1
,2
,5
]
Soluri, Andre
论文数: 0引用数: 0
h-index: 0
机构:
Bonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, Brazil
Bonsucesso Gen Hosp, Liver Transplantat Unit, Rio De Janeiro, Brazil
Natl Heart Inst Laranjeiras, Dept Anesthesiol, Rio De Janeiro, BrazilBonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, Brazil
Soluri, Andre
[1
,2
,5
]
Haack, Alfredo G.
论文数: 0引用数: 0
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机构:
Bonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, Brazil
Bonsucesso Gen Hosp, Liver Transplantat Unit, Rio De Janeiro, BrazilBonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, Brazil
Haack, Alfredo G.
[1
,2
]
de Oliveira, Mariana M.
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机构:
Bonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, BrazilBonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, Brazil
de Oliveira, Mariana M.
[1
]
Vilanova, Bruno
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机构:
Bonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, BrazilBonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, Brazil
Vilanova, Bruno
[1
]
Machado, Virginia R.
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机构:
Bonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, BrazilBonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, Brazil
Machado, Virginia R.
[1
]
Martinho, Jose Manoel
论文数: 0引用数: 0
h-index: 0
机构:
Bonsucesso Gen Hosp, Dept Hepatobiliary Surg, Rio De Janeiro, Brazil
Univ Fed Fluminense, Dept Surg, Niteroi, RJ, BrazilBonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, Brazil
Martinho, Jose Manoel
[3
,6
]
机构:
[1] Bonsucesso Gen Hosp, Dept Anesthesiol, Rio De Janeiro, Brazil
[2] Bonsucesso Gen Hosp, Liver Transplantat Unit, Rio De Janeiro, Brazil
[3] Bonsucesso Gen Hosp, Dept Hepatobiliary Surg, Rio De Janeiro, Brazil
[4] Univ Fed Rio de Janeiro, Dept Anesthesiol, Rio De Janeiro, Brazil
[5] Natl Heart Inst Laranjeiras, Dept Anesthesiol, Rio De Janeiro, Brazil
[6] Univ Fed Fluminense, Dept Surg, Niteroi, RJ, Brazil
BLOOD-COAGULATION;
RIGHT HEPATECTOMY;
TRANSPLANTATION;
HYPERCOAGULABILITY;
THROMBOSIS;
TESTS;
D O I:
10.1002/lt.22011
中图分类号:
R57 [消化系及腹部疾病];
学科分类号:
摘要:
Transient postoperative coagulation abnormalities frequently occur in living liver donors, particularly after right liver resection Usually, this coagulopathy is diagnosed by alterations in conventional coagulation tests (CCTs) such as the international normalized ratio (INR) of the prothrombin time However, recent studies using other methods of coagulation monitoring have suggested that postoperative hypercoagulability may also occur in living donors. The rotational thromboelastometry (ROTEM) system is a coagulation monitor based on the viscoelastic properties of blood The use of ROTEM for perioperative coagulation monitoring in the setting of living liver donors has not been reported We evaluated the perioperative coagulation profile as assessed by ROTEM in 16 consecutive donors who underwent either right or left liver resection at our institution ROTEM analysis and CCTs were performed at the baseline (before skin incision) and on postoperative days 1 and 3 According to the CCTs, hypocoagulability was revealed in all but 1 (left liver) donor The INR was highest on postoperative day 1 [median = 1 67 (interquartile range = 1 37-1 8)] In contrast, all donors had a normal coagulation profile as assessed by the ROTEM system throughout the study period In conclusion, this study showed the disagreement between the CCTs and the ROTEM system, as no significant coagulation abnormalities could be revealed with the latter method during the study period Further studies are needed to confirm the role of the ROTEM system as a perioperative coagulation monitor in this setting and ultimately its influence on the outcome of living donors Liver Transpl 16:387392. 2010. (C) 2010 AASLD.
机构:Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea
Choi, Soo Joo
Gwak, Mi Sook
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机构:
Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South KoreaSungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea
Gwak, Mi Sook
Ko, Justin Sang
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机构:Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea
Ko, Justin Sang
Kim, Gaab Soo
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机构:Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea
Kim, Gaab Soo
Ahn, Hyun Joo
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机构:Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea
Ahn, Hyun Joo
Yang, Mikyung
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机构:Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea
Yang, Mikyung
Hahm, Tae Soo
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机构:Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea
Hahm, Tae Soo
Lee, Sang Min
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机构:Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea
Lee, Sang Min
Kim, Myung Hee
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机构:Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea
机构:Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea
Choi, Soo Joo
Gwak, Mi Sook
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h-index: 0
机构:
Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South KoreaSungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea
Gwak, Mi Sook
Ko, Justin Sang
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h-index: 0
机构:Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea
Ko, Justin Sang
Kim, Gaab Soo
论文数: 0引用数: 0
h-index: 0
机构:Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea
Kim, Gaab Soo
Ahn, Hyun Joo
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h-index: 0
机构:Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea
Ahn, Hyun Joo
Yang, Mikyung
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h-index: 0
机构:Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea
Yang, Mikyung
Hahm, Tae Soo
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h-index: 0
机构:Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea
Hahm, Tae Soo
Lee, Sang Min
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h-index: 0
机构:Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea
Lee, Sang Min
Kim, Myung Hee
论文数: 0引用数: 0
h-index: 0
机构:Sungkyunkwan Univ, Sch Med, Dept Anesthesiol & Pain Med, Samsung Med Ctr, Seoul 135710, South Korea