Live Donor Liver Transplant
Fig. 1 The four major prerequisites for technically successful LDLT are the following: adequate graft volume to avoid SFS graft syndrome, sufficient PV inflow for liver graft regeneration, good HV…
Liver Autotransplantation from the Labs to the Ante-situm Procedure: A Long Journey
Fig. 1 Admission imaging work-up of a 54-year-old woman. The computed tomography scan confirmed the anatomo-pathologic finding of a biopsy-proven primary leiomyosarcoma of the retro-hepatic vena cava (Panel A). Magnetic…
Anesthesia Management of Liver Transplantation
Fig. 1 Segments of the liver (Reprinted from Clin Liver Dis, 4, Ghobrial RM, Amersi F, Busuttil RW, Surgical advances in liver transplantation. Living related and split donors, 553–565, Copyright…
Combined Transplantations
Fig. 1 (a) Liver transplants done as part of combined organ transplants (Data from http://srtr.transplant.hrsa.gov/annual_reports/2012/. slide 34 SRTR report liver slides). (b) Total number and percentage of simultaneous liver–kidney transplantation…
Hepatopulmonary Syndrome and Portopulmonary Hypertension
Degree of hypoxemia Alveolar–arterial gradient (mmHg) Pa02 (mmHg) Mild ≥15 ≥80 Moderate ≥15 ≥60 and <80 Severe ≥15 ≥50 and <60 Very severe ≥15 50 The following are hepatopulmonary syndrome…
Donor Operation
Category Status Condition 1 Dead on arrival Noncontrolled 2 Unsuccessful resuscitation Noncontrolled 3 Awaiting cardiac arrest Controlled 4 Cardiac arrest while brain dead Noncontrolled Category 1, or “dead on arrival,”…
Artificial Liver Treatment: When and Which One?
Fig. 1 The molecular adsorbent recirculating system (MARS) consists of a blood circuit, an albumin circuit, and a dialysate/filtrate side (With permission, modified from Mitzner et al. 2006) SPAD SPAD…
Role of the Transplant Coordinator
Phases of transplantation Phase 1 Pre-transplant evaluation Phase 2 Patient accepted and listed with UNOS. Now in maintenance or candidacy phase Phase 3 Admitted for transplant procedure and inpatient stay…
Immunology of Liver Transplantation
Fig. 1 Model of T-lymphocyte activation and sites of action for immunosuppressive agents (Reprinted with expressed permission from Russell H. Wiesner) (Wiesner and Fung 2011) In the direct pathway, the…
Fulminant Hepatic Failure: Diagnosis and Management
A. Viral HAV, HBV ± HDV, HEV, HSV, CMV, EBV, HVZ, adenovirus, hemorrhagic fever viruses B. Drugs and toxins Examples: Acetaminophen, CCl4, yellow phosphorus, Amanita phalloides, sulfonamides, tetracycline, herbal remedies, halothane, INH,…
