| Journal: | Annals of hepatology |
| Database: | PERIÓDICA |
| System number: | 000418432 |
| ISSN: | 1665-2681 |
| Authors: | Perry, Dana K1 Willingham, Darrin L1 Sibulesky, Lena1 Bulatao, Ilynn G1 Nguyen, Justin H1 Taner, C. Burcin1 |
| Institutions: | 1Mayo Clinic Florida, Department of Transplantation, Jacksonville, Florida. Estados Unidos de América |
| Year: | 2011 |
| Season: | Oct-Dic |
| Volumen: | 10 |
| Number: | 4 |
| Pages: | 482-485 |
| Country: | México |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Analítico, descriptivo |
| English abstract | Donation after cardiac death (DCD) donors provide an important source of livers that has been used to expand the donor pool. As a consequence of increased numbers of OLT, allograft failure due to early and late complications and disease recurrence are more commonly encountered. The only life saving treatment for patients with liver allograft failure is liver re-transplantation (LR). The use of DCD liver grafts for LR is controversial. Material and methods. Between February 1998 and June 2008, 10 patients underwent LR with DCD allografts. Five (50%) patients had no post operative complications. The 30 day, 1 year, and 3 year patient survival are 80, 60, and 60%, respectively. When DCD grafts are used for sick patients with high MELD scores for LR, the patient and graft survivals are prohibitively low. Conclusion. We do not recommend utilization of DCD liver grafts for LR if a candidate recipient has moderate to high MELD score |
| Disciplines: | Medicina |
| Keyword: | Gastroenterología, Cirugía, Donación de órganos, Muerte cardiaca, Trasplante de hígado |
| Keyword: | Gastroenterology, Surgery, Organ donation, Cardiac death, Liver transplantation |
| Full text: | Texto completo (Ver PDF) |
