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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Kniepeiss, D; Michael, Z; Iberer, F; Silvia, S; Estrella, J; Doris, D; Tscheliessnigg, KH.
Influence of retrograde flushing via the caval vein on the post-reperfusion syndrome in liver transplantation.
CLIN TRANSPLANT. 2004; 18(6): 638-641. Doi: 10.1111/j.1399-0012.2004.00231.x
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Führende Autor*innen der Med Uni Graz
Kniepeiss Daniela
Co-Autor*innen der Med Uni Graz
Iberer Florian
Tscheliessnigg Karlheinz
Wagner Doris
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Abstract:
INTRODUCTION: The reperfusion phase during orthotopic liver transplantation (LTX) is a critical event with sometimes profound hemodynamic and cardiac changes. We present the influence of retrograde reperfusion in LTX on the post-reperfusion syndrome (PRS). METHODS: Fifty-six LTXs in 53 patients were performed with the piggy-back technique with retrograde reperfusion via the caval vein and antegrade reperfusion via the portal vein. The incidence of PRS was evaluated. RESULTS: We observed a PRS in two patients (3.6%), four patients (7.1%) had a decrease in mean arterial pressure (MAP) of 20-29%, 18 patients (32.2%) of 10-19%, 27 patients (48.2%) of 1-9% and five patients (8.9%) had a small increase in MAP. DISCUSSION: Our retrospective study showed that retrograde reperfusion seems to maintain stability during the reperfusion phase. Hemodynamic disturbances during LTX were uncommon, leading us to suppose that the incidence of PRS could be diminished with retrograde reperfusion.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Female -
Humans -
Liver Transplantation -
Male -
Middle Aged -
Postoperative Complications - etiology Postoperative Complications - prevention and control
Reperfusion - adverse effects Reperfusion - methods
Retrospective Studies -
Syndrome -
Vena Cava, Inferior -

Find related publications in this database (Keywords)
liver transplantation
post-reperfusion syndrome
retrograde reperfusion
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