Portal Venous Pressure in Adult Living Donor Liver Transplantation

被引：12

作者：

Chang, C. -D. ^{[1
,2
]}

Cheng, Y. -F. ^{[1
,2
]}

Chen, T. -Y. ^{[1
,2
]}

Tsang, L. L. -C. ^{[1
,2
]}

Ou, H. -Y. ^{[1
,2
]}

Yu, C. -Y. ^{[1
,2
]}

Hsu, H. -W. ^{[1
,2
]}

Chen, C. -L. ^{[3
,4
]}

Concejero, A. M. ^{[3
,4
]}

Huang, T. -L. ^{[1
,2
]}

机构：

[1] Kaohsiung Chang Gung Mem Hosp, Liver Transplantat Program, Kaohsiung, Taiwan

[2] Kaohsiung Chang Gung Mem Hosp, Dept Diagnosit Radiol, Kaohsiung, Taiwan

[3] Kaohsiung Chang Gung Mem Hosp, Dept Surg, Kaohsiung, Taiwan

[4] Chang Gung Univ, Coll Med, Kaohsiung, Taiwan

来源：

TRANSPLANTATION PROCEEDINGS | 2014年 / 46卷 / 03期

关键词：

GRAFT; RECIPIENT;

D O I：

10.1016/j.transproceed.2013.11.142

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Objective. The relationship between portal pressure and small-for-size syndrome (SFSS) is unsettled. The purpose of this study was to evaluate the role of portal pressure in predicting SFSS. Methods. Thirty-four patients with end-stage liver disease who received adult-to-adult living-donor liver transplantation (ALDLT) were included. Recipients were grouped based on whether they received portal flow modulation or not. The intraoperative portal vein flow volume (PVFV) and portal venous pressure (PVP) between the 2 groups were compared. The relationship of PVP to PVFV, graft weight-to-recipient weight ratio (GRWR), and graft weight-to-recipient spleen size ratio (GRSSR) were analyzed. Results. Persistent portal hypertension was found after ALDLT. The PVP was linearly correlated with PVFV but not with GRWR or GRSSR. With the use of the following criteria, (1) PVFV >250 mL/min/100 g graft weight, (2) GRWR <0.8%, and (3) GRSSR <0.6, modulation of the portal flow was performed in 3 cases. The receiver operating characteristic analysis showed that 23 mm Hg was the cutoff point for PVP, with a sensitivity of 83% and specificity of 43%. Conclusions. PVP is a weak parameter to use for portal flow modulation after ALDLT. It is sensitive but not specific to predict SFSS.

引用

页码：696 / 698

页数：3

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