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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
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
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Kniepeiss Daniela
- Co-Autor*innen der Med Uni Graz
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Iberer Florian
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Tscheliessnigg Karlheinz
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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.
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Adult -
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Aged -
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Female -
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Humans -
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Liver Transplantation -
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Male -
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Middle Aged -
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Postoperative Complications - etiology Postoperative Complications - prevention and control
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Reperfusion - adverse effects Reperfusion - methods
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Retrospective Studies -
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Syndrome -
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Vena Cava, Inferior -
- Find related publications in this database (Keywords)
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liver transplantation
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post-reperfusion syndrome
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retrograde reperfusion