Effects of Graft Quality on Non-Urgent Liver Retransplantation Survival: Should We Avoid High-Risk Donors?

@article{Mart2012EffectsOG,
  title={Effects of Graft Quality on Non-Urgent Liver Retransplantation Survival: Should We Avoid High-Risk Donors?},
  author={Josep Mart{\'i} and Josep Fuster and Miquel Navasa and Joana Ferrer and Antoni Rimola and Amalia Pelegrina and Constantino Fondevila and Juan Carlos Garc{\'i}a-Valdecasas},
  journal={World Journal of Surgery},
  year={2012},
  volume={36},
  pages={2914-2922}
}
BackgroundFew studies have studied the effects of graft quality on non-urgent liver retransplantation (ReLT) outcomes. We aimed to analyze graft characteristics and survival in non-urgent ReLT and the effect of using grafts with extended criteria on survival.MethodsEighty non-urgent ReLT were performed from June 1988 to June 2010. The whole series was divided by identical time periods to study time-related effects. We assessed graft quality with donor risk index (DRI) and Briceño scores and… 
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13 Citations
Background Citations
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Methods Citations
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Results Citations
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Effects of Donor Age and Cold Ischemia on Liver Transplantation Outcomes According to the Severity of Recipient Status
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The negative effects of prolonged CIT seem to be limited to patients with moderate MELD receiving organs procured from older donors and to high-MELD recipients, irrespective of donor age.
Extended-criteria donors in liver transplantation Part II: reviewing the impact of extended-criteria donors on the complications and outcomes of liver transplantation
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Graft survival was excellent up to a DS of 2, however a DS >2 should be avoided in higher-risk recipients, andHypothermic oxygenated machine perfusion can be applied clinically in DCD liver grafts, and Feasibility and safety were confirmed.
Influence of Donor Obesity on Long-Term Liver Transplantation Outcomes.
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Mortality was significantly associated with the presence of the hepatitis C virus (HCV) in the recipient and with the age of the donor, and a significantly longer pre-extraction ICU stay was observed in obese versus nonobese donors, but no significant between-group difference in the post-transplant complications or survival of the respective recipients.
Influence of Donor Obesity on Long-Term Liver Transplantation Outcomes.
TLDR
A significantly longer pre-extraction ICU stay was observed in obese (BMI ≥30) versus nonobese donors and the risk of death was 2.87-fold higher in patients with HCV versus without HCV.
Recipient Age for Liver Transplantation: Should It Be Limited? A Propensity Score Matching Analysis of a Large European Series.
TLDR
The impact of recipient age on the post-LT survival in 2 well-balanced populations at Vall d'Hebron University Hospital and advanced age alone should not exclude patients from LT.
Retransplantations in the Hungarian liver transplant program.
TLDR
The data suggested that the characteristics and number of early reOLT did not change over time, however, the rate of late reOLTs increased, which can be explained by the increased rate ofLate onset biliary complications in spite of proper interventional radiological treatment.
The donor risk index: A decade of experience
  • Avegail Flores, S. Asrani
  • Medicine
    Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
  • 2017
TLDR
The donor risk index (DRI) remains relevant but may benefit from being updated to provide guidance in the use of extended criteria donors by accounting for the impact of geography and unmeasured donor characteristics.
A new formula as a predictive score of post-liver transplantation outcome: postoperative MELD-lactate.
TLDR
The postoperative MELD lactate score proved to be more specific and sensitive than the original MELD and MELD sodium as a predictive model of the outcome of patients submitted to OLT.
Tu1027 A New Formula As a Predictive Score of Post-Liver Transplantation Outcome: Postoperative MELD Lactate
TLDR
The postoperative MELD lactate score proved to be more specific and sensitive than the original MELD and MELD sodium as a predictive model of the outcome of patients submitted to OLT.
Hepatic retransplant: what have we learned?
TLDR
Hepatic retransplant remains the sole option for survival in many patients facing allograft failure after liver transplant, and with improved techniques to match retrans transplant candidates with appropriate donor grafts, it is hoped that the outcomes ofretransplant will continue to improve in future.
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