Release of cytokines and hemodynamic instability during the reperfusion of a liver graft

Dmitri Bezinover, Zakiyah Kadry, Paul McCullough, Patrick M. McQuillan, Todahiro Uemura, Kelli Welker, Andrea M. Mastro, Piotr K. Janicki – 3 December 2010 – The objectives of this prospective, observational study were (1) to determine whether a transplanted liver graft releases proinflammatory cytokines into the systemic circulation upon reperfusion and (2) to determine whether they contribute to any subsequent hemodynamic instability observed after graft reperfusion (if this release occurs).

Severe rhabdomyolysis due to rosuvastatin in a liver transplant subject with human immunodeficiency virus and immunosuppressive therapy–related dyslipidemia

Ana Moreno, Jesús Fortún, Javier Graus, Miguel A. Rodriguez‐Gandía, Carmen Quereda, María J. Pérez‐Elías, Javier Nuño, Philip Wikman, Santiago Moreno, Rafael Bárcena – 3 December 2010 – Statins are relatively safe first‐line agents to use in the setting of dyslipidemia associated with immunosuppressive therapy in subjects undergoing liver transplantation, and also in HIV‐infected patients with dyslipidemia due to antiretroviral drugs, especially ritonavir‐boosted protease inhibitors.

Pretransplant depression, antidepressant use, and outcomes of orthotopic liver transplantation

Shari S. Rogal, Douglas Landsittel, Owen Surman, Raymond T. Chung, Anna Rutherford – 3 December 2010 – Depression is a common problem among patients awaiting organ transplantation, but little is known about the impact of depression and its treatment on the outcomes of liver transplantation. In this retrospective cohort analysis, we studied all patients over 18 years of age who underwent liver transplantation during a 5‐year period (2004‐2008) at a single center. Among 179 recipients, 65 patients had depression, as defined by a health care provider assessment, before transplantation.

The interaction among donor characteristics, severity of liver disease, and the cost of liver transplantation

Paolo R. Salvalaggio, Nino Dzebisashvili, Kara E. MacLeod, Krista L. Lentine, Adrian Gheorghian, Mark A. Schnitzler, Samuel Hohmann, Dorry L. Segev, Sommer E. Gentry, David A. Axelrod – 3 December 2010 – Accurate assessment of the impact of donor quality on liver transplant (LT) costs has been limited by the lack of a large, multicenter study of detailed clinical and economic data.

Posttransplantation prophylaxis with primary high‐dose hepatitis B immunoglobulin monotherapy and complementary preemptive antiviral add‐on

Shin Hwang, Chul‐Soo Ahn, Gi‐Won Song, Ki‐Hun Kim, Deok‐Bog Moon, Heung‐Bum Oh, Young‐Suk Lim, Han Chu Lee, Tae‐Yong Ha, Dong‐Hwan Jung, Young‐Hwa Chung, Sung‐Gyu Lee – 3 December 2010 – A considerable proportion of liver transplantation recipients who receive hepatitis B immunoglobulin (HBIG) monotherapy for hepatitis B virus (HBV) prophylaxis develop resistance to HBIG. We retrospectively assessed the efficacy of HBV prophylaxis in 1524 patients who received primary high‐dose HBIG monotherapy (n = 1463) or with a preemptive antiviral add‐on as secondary combination therapy (n = 61).

Clinical value of myocardial perfusion scintigraphy as a screening tool in liver transplant candidates

Daniela E. Oprea‐Lager, Bastiaan J. Sorgdrager, J. Wouter Jukema, Roderick W. C. Scherptong, Jan Ringers, Minneke J. Coenraad, Bart van Hoek, Marcel P. M. Stokkel – 3 December 2010 – A cardiac evaluation before orthotopic liver transplantation (OLT) is imperative. Previous investigations have demonstrated that mild to moderate reversible perfusion defects on myocardial perfusion scintigraphy (MPS) in general are associated with a low risk for perioperative cardiac events.

Constitutive release of powerful antioxidant‐scavenging activity by hepatic stellate cells: Protection of hepatocytes from ischemia/reperfusion injury

Noor Mohamed Jameel, Chinnasamy Thirunavukkarasu, Noriko Murase, Michael Cascio, John Prelich, Shuting Yang, Stephen A. K Harvey, Chandrashekhar R Gandhi – 29 November 2010 – Within the liver, reactive oxygen species produced by infiltrating blood cells and Kupffer cells (resident macrophages) can injure hepatocytes. We hypothesized that hepatocyte survival is influenced by the relatively small juxtaposed population of hepatic stellate cells (HSCs).

Percutaneously placed covered retrievable stents for the treatment of biliary anastomotic strictures following living donor liver transplantation

Jinoo Kim, Gi‐Young Ko, Kyu‐Bo Sung, Dong Il Gwon, Sung‐Gyu Lee, Kwang‐Mi Kim, Kyung‐Ah Kim, Hyun‐Ki Yoon – 29 November 2010 – This study evaluated the feasibility and efficacy of covered retrievable stent placement compared with drainage catheter placement for treating biliary anastomotic strictures following living donor liver transplantation (LDLT).

Feasibility of using a liver infected with Clonorchis sinensis for liver transplantation: Fourteen cases

Zhi‐Jun Zhu, Zhong‐Yang Shen, Wei Gao, Hong Zheng, Yong‐Lin Deng, Cheng Pan, Li‐Ying Sun, Zhi‐Gui Zeng, Ji‐San Sun – 29 November 2010 – Use of livers infected with Clonorchis sinensis as donor organs for transplantation is controversial because of the potential associated risks. The low availability of donor livers at Tianjin First Center Hospital since 2003 prompted us to undertake cadaveric liver transplantation in 14 patients using donor livers infected with C. sinensis.

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