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19 February 2021: Original Paper

Short- and Long-Term Outcomes of Different Reperfusion Sequences in Liver Transplantation

Ann-Kathrin Eichelmann 1BCEF** , Thomas Vogel 1ABE* , Ann-Kathrin Fuchs 1BC , Philipp Houben 1DE , Shadi Katou 1BDF , Felix Becker 1CD , Hartmut H. Schmidt 2AD , Christian Wilms 2DF , Andreas Pascher 1BD , Jens G. Brockmann 1ACDE

DOI: 10.12659/AOT.926847

Ann Transplant 2021; 26:e926847

Table 3 Operative and (early) postoperative data.

PVASIMp
Operative dataCold ischemia (min)485±157526±141554±1050.32
Warm ischemia (min)36±1029±648±60.001
T-Drain (yes)9 (36%)3 (14%)1 (7%)0.06
Portocaval shunt022 (100%)8 (57%)0.001
Operating time (min)335±81339±81331±1090.73
RBC (units)10 (0–50)7 (1–35)7 (3–44)0.62
FFP (units)24 (4–67)19 (4–52)21 (7–61)0.61
Platelets (units)2.2 (0–6)2 (0–7)3.1 (0–13)0.76
Postoperative dataOverall hospital stay (median, d)30 (9–132)30 (14–93)28 (16–111)0.99
Intensive Care Unit25 (9–129)26 (13–83)28 (16–106)0.74
Intermediate Care15 (0–76)19 (0–45)17 (3–80)0.32
30d mortality4 (16%)01 (7%)0.13
60d mortality7 (28%)02 (14%)0.03
Complications within 60d
 Bleeding5 (20%)4 (18%)3 (21%)0.9
 Biliary2 (8%)1 (5%)1 (7%)0.9
 Vascular1 (4%)1 (5%)00.73
 Other2 (8%)3 (14%)1 (7%)0.75
 Acute rejection1 (4%)4 (18%)00.09
Re-Transplantation within 30d5 (20%)2 (9%)00.15
Labaratory data (peak level)
 AST (U/l)4773±47941249±8192086±14120.01
 ALT (U/l)2850±3424819±6611461±12870.03
 Bilirubin (mg/dl)10.7±98.6±116.8±50.57
 gGT (U/l)415±329554±4081736±26220.2
PV – primary portal venous reperfusion; A – primary arterial reperfusion; SIM – simultaneous reperfusion; Min – minute; RBC – red blood cell packets; FFP – fresh frozen plasma; d – days; AST – aspartate aminotransferase; ALT – alanine aminotransferase.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358