Hepatic Vein Flow During Orthotopic Liver Transplantation as Predictive Factor for Postoperative Graft Function
Status: | Recruiting |
---|---|
Healthy: | No |
Age Range: | Any |
Updated: | 1/25/2019 |
Start Date: | February 20, 2018 |
End Date: | June 30, 2019 |
Contact: | Yoshihisa Morita, MD |
Email: | ymorita1@hfhs.org |
Phone: | 313-970-1282 |
Hepatic Vein Flow Assessment With Transesophageal Echocardiography for Postoperative Graft Function Prediction in Orthotopic Liver Transplantation
Hepatic vein flow (HVF) assessment using transesophageal echocardiography (TEE) has a
potential to predict postoperative graft function in orthotopic liver transplant (OLT).
Investigators will measure HVF using TEE and assess the correlation with postoperative graft
function indices such as prolonged total bilirubin level.
potential to predict postoperative graft function in orthotopic liver transplant (OLT).
Investigators will measure HVF using TEE and assess the correlation with postoperative graft
function indices such as prolonged total bilirubin level.
During OLT, intraoperative TEE assessment of HVF (systolic and diastolic), and indices of
postoperative graft function including time to normalization of INR, platelet, and total
bilirubin. HVF was calculated with hepatic vein area (cm2) x hepatic vein velocity (ml/s) in
systole and diastole during the neohepatic phase. Investigators defined HVF index (HVFi) as:
HVF/donor liver size (kg). Investigators did ROC analysis to assess the predictive power for
prolonged INR, platelet, and total bilirubin.
postoperative graft function including time to normalization of INR, platelet, and total
bilirubin. HVF was calculated with hepatic vein area (cm2) x hepatic vein velocity (ml/s) in
systole and diastole during the neohepatic phase. Investigators defined HVF index (HVFi) as:
HVF/donor liver size (kg). Investigators did ROC analysis to assess the predictive power for
prolonged INR, platelet, and total bilirubin.
Inclusion Criteria:
Orthotopic liver transplants which uses TEE intraoperatively Must be Piggy back technique -
Exclusion Criteria:
TEE absolute contraindication patient refusal
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