Analysis of Risk Factors Affecting the Development of Infection in Artificial Vascular Grafts Used for Reconstruction of Middle Hepatic Vein Tributaries in Living Donor Liver Transplantation

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dc.authoridKose, Adem/0000-0002-1853-1243
dc.authoridYologlu, Saim/0000-0002-9619-3462
dc.authoridIsik, Burak/0000-0002-2395-3985
dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authoridOzdemir, Fatih/0000-0003-0292-3602
dc.authoridÖZDEMİR, FATİH/0000-0003-0292-3602
dc.authorwosidKose, Adem/AAD-1226-2020
dc.authorwosidYologlu, Saim/ABI-8014-2020
dc.authorwosidIsik, Burak/A-6657-2018
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.authorwosidOzdemir, Fatih/ABH-2875-2020
dc.authorwosidÖZDEMİR, FATİH/HJI-7585-2023
dc.contributor.authorKoc, Cemalettin
dc.contributor.authorAkbulut, Sami
dc.contributor.authorOzdemir, Fatih
dc.contributor.authorKose, Adem
dc.contributor.authorIsik, Burak
dc.contributor.authorYologlu, Saim
dc.contributor.authorYilmaz, Sezai
dc.date.accessioned2024-08-04T20:46:43Z
dc.date.available2024-08-04T20:46:43Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.descriptionAnnual Congress of the International-Liver-Transplantation-Society (ILTS) -- MAY 23-26, 2018 -- Lisbon, PORTUGALen_US
dc.description.abstractBackground. To analyze the risk factors affecting the development of infection in artificial vascular grafts (AVGs) used for reconstruction of middle hepatic vein (MHV) tributaries in living donor liver transplantation (LDLT). Methods. Between January 2009 and January 2018, 1253 right lobe LDLTs were performed at our Transplant Institute, and MHV tributaries of the 640 right lobe liver grafts were reconstructed with AVG. Reconstructed MHV tributaries were removed due to AVG infection in 25 of these patients (case group; n = 25). To determine risk factors for AVG infection, right lobe LDLT patients without AVG infections were selected as control group (n = 615). Both groups were compared about demographic parameter, transcystic catheter usage, bile leakage, type of biliary anastomosis (duct-to-duct, telescopic duct-to-duct), number of graft biliary duct (=1 versus >1), number of biliary anastomosis (=1 versus >1), AVG thrombosis, AVG types (Dacron versus polytetrafluoroethylene). Univariate analyses were used for comparison of different variables, and variables with P <= 0.20 were taken into logistic regression model. Results. Univariate analysis shows that statistically significant differences were found between groups regarding bile leakage (P < 0.001), graft thrombosis (P = 0.002), transcystic catheter (P = 0.049), and AVG types (P = 0.013). Variables with P <= 0.20 were taken into logistic regression model. Multivariate analysis shows that bile leakage (odds ratio, 13.3) and AVG thrombosis (odds ratio, 9.8) were determined as independent and strong risk factors for development of AVG infection. Conclusions. This study revealed that bile leakage and graft thrombosis are independent and strong risk factors for infections of AVGs used for anterior sector drainage reconstruction.en_US
dc.description.sponsorshipInt Liver Transplantat Socen_US
dc.identifier.doi10.1097/TP.0000000000002583
dc.identifier.endpage1876en_US
dc.identifier.issn0041-1337
dc.identifier.issn1534-6080
dc.identifier.issue9en_US
dc.identifier.pmid30747841en_US
dc.identifier.scopus2-s2.0-85070186017en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1871en_US
dc.identifier.urihttps://doi.org/10.1097/TP.0000000000002583
dc.identifier.urihttps://hdl.handle.net/11616/98899
dc.identifier.volume103en_US
dc.identifier.wosWOS:000509340300027en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofTransplantationen_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPolytetrafluoroethylene Graftsen_US
dc.subjectComplicationsen_US
dc.subjectExperienceen_US
dc.subjectMigrationen_US
dc.subjectUsabilityen_US
dc.subjectDrainageen_US
dc.subjectOrgansen_US
dc.titleAnalysis of Risk Factors Affecting the Development of Infection in Artificial Vascular Grafts Used for Reconstruction of Middle Hepatic Vein Tributaries in Living Donor Liver Transplantationen_US
dc.typeConference Objecten_US

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