Early Hepatic Artery Thrombosis After Pediatric Living Donor Liver Transplantation

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dc.authoridKARAKAS, SERDAR/0000-0001-8314-7806
dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authoridSAHIN, TEVFIK TOLGA/0000-0002-9132-6115
dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridKutluturk, Koray/0000-0002-7030-4953
dc.authoridGozukara Bag, Harika Gozde/0000-0003-1208-4072
dc.authorwosidKARAKAS, SERDAR/AAB-3219-2021
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.authorwosidSAHIN, TEVFIK TOLGA/AAA-9648-2021
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.authorwosidKutluturk, Koray/S-5493-2019
dc.authorwosidGozukara Bag, Harika Gozde/ABG-7588-2020
dc.contributor.authorKutluturk, K.
dc.contributor.authorSahin, T. T.
dc.contributor.authorKarakas, S.
dc.contributor.authorUnal, B.
dc.contributor.authorBag, H. G. Gozukara
dc.contributor.authorAkbulut, S.
dc.contributor.authorAydin, C.
dc.date.accessioned2024-08-04T20:45:55Z
dc.date.available2024-08-04T20:45:55Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description12th Congress of the Turkish-Transplantation-Centers-Coordination-Association (TTCCA) -- OCT 18-21, 2018 -- Trabzon, TURKEYen_US
dc.description.abstractAim. Hepatic artery thrombosis is one of the major complications affecting patient and graft survival after liver transplantation. In this study, we analyzed the factors affecting the development of early hepatic artery thrombosis (eHAT) and its outcomes in pediatric liver transplantation. Methods. A total of 175 pediatric patients underwent living donor liver transplantation between January 2013 and November 2018. Factors affecting eHAT and its outcomes were examined. Results. Nine patients (5.1%) developed eHAT. In multivariate analysis, intraoperative hepatic artery revision and Roux-en-Y hepaticojejunostomy biliary reconstruction type were statistically significant (all, P < .05). Thrombectomy and reanastomosis was performed in 5 patients. Two of them were successful. In total, 3 retransplantations were performed and all of those patients are still alive. Conclusion. The factors affecting eHAT are still a matter of debate. Intraoperative hepatic artery anastomosis revision and Roux-en-Y hepaticojejunostomy reconstruction were independent risk factors for development of eHAT. In the present study, the confidence interval of the variables is high, therefore exact determination of the risk factors may not be possible. Early detection and thrombectomy and reanastomosis may be the first treatment of choice to rescue the patient and graft. When it fails, retransplantation must be an alternative. The results of the present study state that at least once a day the vascular anastomosis must be examined by Doppler ultrasonography in the post-transplant first week. It must be repeated when liver enzymes increase. The patients under high risk for eHAT may be followed up closer.en_US
dc.description.sponsorshipTurkish Transplantat Ctr Coordinat Assocen_US
dc.identifier.doi10.1016/j.transproceed.2019.01.104
dc.identifier.endpage1168en_US
dc.identifier.issn0041-1345
dc.identifier.issn1873-2623
dc.identifier.issue4en_US
dc.identifier.pmid31101192en_US
dc.identifier.scopus2-s2.0-85065507451en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1162en_US
dc.identifier.urihttps://doi.org/10.1016/j.transproceed.2019.01.104
dc.identifier.urihttps://hdl.handle.net/11616/98786
dc.identifier.volume51en_US
dc.identifier.wosWOS:000500179300034en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofTransplantation Proceedingsen_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectVascular Complicationsen_US
dc.subjectSingle-Centeren_US
dc.subjectRisk-Factorsen_US
dc.subjectExperienceen_US
dc.subjectReconstructionen_US
dc.subjectManagementen_US
dc.subjectGraftsen_US
dc.subjectAdulten_US
dc.subjectSizeen_US
dc.titleEarly Hepatic Artery Thrombosis After Pediatric Living Donor Liver Transplantationen_US
dc.typeConference Objecten_US

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