REDUCED-SIZE GRAFTS - THE SOLUTION FOR HEPATIC-ARTERY THROMBOSIS AFTER PEDIATRIC LIVER-TRANSPLANTATION

被引:23
作者
JURIM, O
CSETE, M
GELABERT, HA
MILLIS, JM
OLTHOFF, K
IMAGAWA, D
SHAKED, A
MCDIARMID, SV
BUSUTTIL, RW
机构
[1] UNIV CALIF LOS ANGELES,SCH MED,DEPT ANESTHESIOL,DUMONT TRANSPLANT CTR,LOS ANGELES,CA 90024
[2] UNIV CALIF LOS ANGELES,SCH MED,DEPT PEDIAT,LOS ANGELES,CA 90024
关键词
HEPATIC ARTERY THROMBOSIS; LIVER TRANSPLANTATION; PEDIATRIC; REDUCED SIZE GRAFTS;
D O I
10.1016/0022-3468(95)90609-6
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Reduced size liver grafts (RSG) were developed to alleviate the donor shortage for pediatric patients, particularly those requiring emergency transplantation. In theory, the large size of the hepatic artery available for anastomosis from RSG, as opposed to whole pediatric grafts, is less likely to lead to hepatic artery thrombosis (HAT). Therefore, the authors reviewed their experience with HAT, comparing RSG and whole-liver grafts in pediatric patients undergoing emergency liver transplantation. Despite the severity of illness of the recipients (UNOS status IV), and the intrinsic damage to the graft during reduction, HAT was not seen after RSG for emergency pediatric transplantation. in contrast, 29% of pediatric recipients who received whole grafts for emergency transplantation had HAT. RSG is a safe alternative to whole-liver grafts for pediatric liver transplantation, and may reduce the incidence of HAT. Copyright (C) 1995 by W.B. Saunders Company
引用
收藏
页码:53 / 55
页数:3
相关论文
共 11 条
[1]   LIVER-TRANSPLANTATION WITH REDUCED-SIZE DONOR ORGANS [J].
BROELSCH, CE ;
EMOND, JC ;
THISTLETHWAITE, JR ;
ROUCH, DA ;
WHITINGTON, PF ;
LICHTOR, JL .
TRANSPLANTATION, 1988, 45 (03) :519-523
[2]   LIVER-TRANSPLANTATION BEFORE 1 YEAR OF AGE [J].
ESQUIVEL, CO ;
KONERU, B ;
KARRER, F ;
TODO, S ;
IWATSUKI, S ;
GORDON, RD ;
MAKOWKA, L ;
MARSH, WJ ;
STARZL, TE .
JOURNAL OF PEDIATRICS, 1987, 110 (04) :545-548
[3]  
KALAYOGLU M, 1990, SURG GYNECOL OBSTET, V171, P139
[4]   LIVER-TRANSPLANTATION IN INFANTS AND CHILDREN [J].
KALAYOGLU, M ;
STRATTA, RJ ;
SOLLINGER, HW ;
HOFFMANN, RM ;
DALESSANDRO, AM ;
PIRSCH, JD ;
BELZER, FO .
JOURNAL OF PEDIATRIC SURGERY, 1989, 24 (01) :70-76
[5]   THE RESULTS OF REDUCED-SIZE LIVER-TRANSPLANTATION, INCLUDING SPLIT LIVERS, IN PATIENTS WITH END-STAGE LIVER-DISEASE [J].
LANGNAS, AN ;
MARUJO, WC ;
INAGAKI, M ;
STRATTA, RJ ;
WOOD, RP ;
SHAW, BW .
TRANSPLANTATION, 1992, 53 (02) :387-391
[6]   HEPATIC-ARTERY THROMBOSIS AFTER PEDIATRIC LIVER-TRANSPLANTATION - A MEDICAL OR SURGICAL EVENT [J].
MAZZAFERRO, V ;
ESQUIVEL, CO ;
MAKOWKA, L ;
BELLE, S ;
KAHN, D ;
KONERU, B ;
SCANTLEBURY, VP ;
STIEBER, AC ;
TODO, S ;
TZAKIS, AG ;
STARZL, TE .
TRANSPLANTATION, 1989, 47 (06) :971-977
[7]   FAILURE OF DUPLEX SONOGRAPHY TO DIAGNOSE HEPATIC-ARTERY THROMBOSIS IN A HIGH-RISK GROUP OF PEDIATRIC LIVER-TRANSPLANT RECIPIENTS [J].
MCDIARMID, SV ;
HALL, TR ;
GRANT, EG ;
MILEWICZ, AL ;
OLTHOFF, K ;
LOIS, J ;
VARGAS, J ;
AMENT, ME ;
BUSUTTIL, RW .
JOURNAL OF PEDIATRIC SURGERY, 1991, 26 (06) :710-713
[8]  
MERION RM, 1989, TRANSPLANTATION, V48, P438
[9]   SEGMENTAL ORTHOTOPIC HEPATIC TRANSPLANTATION AS A MEANS TO IMPROVE PATIENT SURVIVAL AND DIMINISH WAITING-LIST MORTALITY [J].
RYCKMAN, FC ;
FLAKE, AW ;
FISHER, RA ;
TCHERVENKOV, JI ;
PEDERSEN, SH ;
BALISTRERI, WF .
JOURNAL OF PEDIATRIC SURGERY, 1991, 26 (04) :422-428
[10]   HEPATIC-ARTERY THROMBOSIS IN INFANTS - A COMPARISON OF WHOLE LIVERS, REDUCED-SIZE GRAFTS, AND GRAFTS FROM LIVING-RELATED DONORS [J].
STEVENS, LH ;
EMOND, JC ;
PIPER, JB ;
HEFFRON, TG ;
THISTLETHWAITE, JR ;
WHITINGTON, PF ;
BROELSCH, CE .
TRANSPLANTATION, 1992, 53 (02) :396-399