Thrombotic and hemorrhagic complications during visceral transplantation: risk factors, and association with intraoperative disseminated intravascular coagulation-like thromboelastographic qualities: a single-center retrospective study

Autor:	Michael Demos, Georges Nasrallah, Joshua Livingstone, Ernesto A. Pretto, Behrouz Ashrafi, Rodrigo Vianna, Fouad G. Souki, Yehuda Raveh, David W. Andrews, Vadim Shatz, Thiago Beduschi, Vinaya Manmohansigh, Ramona Nicolau-Raducu, Yiliam Rodriguez
Jazyk:	angličtina
Rok vydání:	2018
Předmět:	Adult Male medicine.medical_specialty Adolescent medicine.medical_treatment Hemorrhage 030204 cardiovascular system & hematology Gastroenterology Intraoperative Period Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors 030202 anesthesiology Internal medicine Intestine Small Fibrinolysis medicine Coagulopathy Humans Postoperative Period Aged Retrospective Studies Venous Thrombosis Disseminated intravascular coagulation Transplantation medicine.diagnostic_test Portal Vein business.industry Thrombosis Disseminated Intravascular Coagulation Middle Aged medicine.disease Hyperfibrinolysis Thromboelastography Thrombelastography Portal vein thrombosis Pulmonary embolism Female Pulmonary Embolism business Algorithms Echocardiography Transesophageal
Zdroj:	Transplant International. 31
ISSN:	0934-0874
DOI:	10.1111/tri.13281
Popis:	This study describes the risk of thrombotic and hemorrhagic complications, both intraoperatively, and up to 1 month following visceral transplantation. Data from 48 adult visceral transplants performed between 2010 and 2017 were retrospectively studied [32 multivisceral (MVTx); 10 isolated intestine; six modified-MVTx]. Intraoperatively, intracardiac thrombosis (ICT)/pulmonary embolism (PE) occurred in 25%, 0% and 0% of MVTx, isolated intestine and modified MVTx, respectively, and was associated with 50% (4/8) mortality. Preoperative portal vein thrombosis (PVT) was a significant risk factor for ICT/PE (P = 0.0073). Thromboelastography resembling disseminated intravascular coagulation (DIC) (r time
Databáze:	OpenAIRE
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