Home Bratislava Medical Journal 2020 Bratislava Medical Journal Vol.121, No.7, p.493–498,2020

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

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Bratislava Medical Journal Vol.121, No.7, p.493–498,2020

Title: Impact of the venting via vena cava inferior on the outcome of liver transplantation
Author: J. Janek, L. Laca, R. Kminiak, R. Necpal, I. Slobodnik, F. Hampl, J. Valky, L. Skladany, S. Blazej, I. Dedinska

Abstract: BACKGROUND: The liver transplantation is a standard treatment method for the indicated group of patients with a final hepatic failure. The aim of this paper was to compare two reperfusion methods of implanted liver, non-venting and venting vena cava, and to evaluate the impact of both techniques on the post reperfusion syndrome.
METHODS: We compared two groups of patients: non-venting (n = 42) and venting (n = 41). We monitored bilirubin, liver enzymes and hemodynamic changes after reperfusion. We recorded monitored parameters immediately prior to the transplantation, during and after the reperfusion and on the 1st postoperative day. All liver grafts were used from the donors after a brain death.
RESULTS: We did not find a statistically significant difference in input monitored parameters. We detected significant changes of pH after reperfusion in both monitored groups. We determined a significantly better saturation in the non-venting group, bigger consumption of fresh frozen plasma and thrombo-concentrate in the non-venting group, a significantly higher value of total bilirubin and a lower value of Quick’s time in the non-venting group.
CONCLUSION: Venting via vena cava inferior did not impact the perioperative and early postoperative course of liver transplantation in our group of patients. However, further analyses are required (Tab. 2, Fig. 3, Ref. 20).

Keywords: liver transplantation, venting via vena cava, post reperfusion syndrome
Published online: 25-Jun-2020
Year: 2020, Volume: 121, Issue: 7 Page From: 493, Page To: 498

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