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Personal experience with the procurement of 132 liver allografts
Authors
A. G. Tzakis
AG Tzakis
+30 more
BW Shaw Jr
DN Granger
FO Belzer
G Blumhardt
GB Klintmalm
H Shapiro
J Lerut
JF Dice
JH Hong
K Weinbren
K Yanaga
K. Yanaga
KJ O'Connor
L Makowka
M Kalayoglu
M Meurisse
MC Foster
P Halloran
PDI Richardson
RP Wood
RW Busuttil
S Iu
S Todo
S Todo
T. E. Starzl
TE Starzl
TE Starzl
TE Starzl
TE Starzl
TE Starzl
Publication date
1 October 1989
Publisher
'Springer Science and Business Media LLC'
Doi
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PubMed
Abstract
A single donor surgeon's experience procuring the livers from 132 donors is described. Thirty-seven grafts (28.9%) had hepatic arterial anomalies, 19 (14.4%) of which required arterial reconstruction prior to transplantation. Of the 121 grafts evaluated for early function, 103 grafts (85.2%) functioned well, whereas 14 grafts (11.6%) functioned poorly and 4 grafts (3.3%) failed to function at all. The variables associated with less than optimal function of the graft consisted of donor age (P<0.05), duration of donor's stay in the intensive care unit (P<0.005), abnormal graft appearance (P<0.05), and such recipient problems as vascular thromboses during or immediately following transplantation (P<0.005). A new preservation fluid, University of Wisconsin solution, allowed safe and longer cold storage of the liver allograft than did Euro-Collins' solution (P<0.0001). A parameter of liver allograft viability, which is simple and predictive of allograft function prior to the actual transplant procedure, is urgently needed. © 1989 Springer-Verlag
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Last time updated on 19/07/2013
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