Liver transplantation with simultaneous removal of an intracardiac transjugular intrahepatic portosystemic shunt and a vena cava filter without the utilization of cardiopulmonary bypass

Paolo R.O. Salvalaggio, Alan J. Koffron, Jonathan P. Fryer, Michael M. Abecassis – 21 January 2005 – Transjugular intrahepatic shunts (TIPSs) are widely used in the management of portal hypertension complications including variceal bleeding, refractory ascites, and hepatic hydrothorax. Vena cava filters (VCFs) are an important therapeutic modality in the prevention of pulmonary emboli in patients suffering deep venous thrombosis and clinical contraindications for anticoagulation. Stent and filter misplacement or migration may occur, complicating liver transplantation (LT) surgery.

Noninvasive ventilation for pediatric patients including those under 1‐year‐old undergoing liver transplantation

Kazuo Chin, Shinji Uemoto, Ken‐ichi Takahashi, Hiroto Egawa, Mureo Kasahara, Yasuhiro Fujimoto, Kensuke Sumi, Michiaki Mishima, Colin E. Sullivan, Kouichi Tanaka – 21 January 2005 – Pulmonary complications are an important cause of the mortality associated with liver transplantation. The efficacy of noninvasive ventilation (NIV) in pediatric patients following transplantation is unknown. The purpose of this retrospective study is to investigate the effects of NIV for pediatric patients undergoing liver transplantation.

The hepatic regeneration power of mild steatotic grafts is not impaired in living‐donor liver transplantation

Jai Young Cho, Kyung‐Suk Suh, Choon Hyuck Kwon, Nam‐Joon Yi, Soo Youn Cho, Ja‐June Jang, Se Hyung Kim, Kuhn Uk Lee – 21 January 2005 – The aim of this study was to assess histologic changes in steatotic grafts, regenerative capacity, and the outcome of steatotic grafts in living‐donor liver transplantation (LDLT). Between September 2002 and February 2004, 55 cases of LDLT with a liver biopsy performed on the 10th postoperative day were enrolled.

Compression of the brachial plexus during right lobe liver donation as a cause of brachial plexus injury: A case report

Michael G. Dulitz, Andre M. De Wolf, Hak Wong, Chris Wray, Saadia Sherwani, Josh Herborn, Robert L. Sufit, Alan J. Koffron – 21 January 2005 – We present a case of brachial plexus injury in a living‐related liver donor, most likely caused by compression of the plexus between the 1st rib and clavicle, the result of rib retraction for surgical exposure. (Liver Transpl 2005;11:233–235.)

Liver transplantation for HELLP syndrome

Brian D. Shames, Luis A. Fernandez, Hans W. Sollinger, L. Thomas Chin, Anthony M. D'Alessandro, Stuart J. Knechtle, Michael R. Lucey, Reza Hafez, Alexandru I. Musat, Munci Kalayoglu – 21 January 2005 – Hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is a rare complication of pregnancy that is associated with preeclampsia and may result in rupture of the liver. Although there have been case reports of liver transplantation for HELLP syndrome, the outcomes of transplantation for this rare indication have not been reported.

MELD fails to measure quality of life in liver transplant candidates

Sammy Saab, Ayman B. Ibrahim, Alexander Shpaner, Zobair M. Younossi, Cindy Lee, Francisco Durazo, Steven Han, Karl Esrason, Victor Wu, Jonathan Hiatt, Douglas G. Farmer, R. Mark Ghobrial, Curtis Holt, Hasan Yersiz, Leonard I. Goldstein, Myron J. Tong, Ronald W. Busuttil – 21 January 2005 – Previous studies have demonstrated an association between Child Turcotte‐Pugh (CTP) class and impaired quality of life. However, the relationship between the model for end‐stage liver disease (MELD) score and quality of life (QOL) has not been well studied.

Ischemic preconditioning in deceased donor liver transplantation: A prospective randomized clinical trial of safety and efficacy

Baburao Koneru, Adrian Fisher, Yan He, Kenneth M. Klein, Joan Skurnick, Dorian J. Wilson, Andrew N. de la Torre, Anand Merchant, Rakesh Arora, Arun K. Samanta – 21 January 2005 – Ischemic preconditioning (IPC) has the potential to decrease graft injury and morbidity after liver transplantation. We prospectively investigated the safety and efficacy of 5 minutes of IPC induced by hilar clamping in local deceased donor livers randomized 1 : 1 to standard (STD) recovery (N = 28) or IPC (N = 34).

Amelioration of hypertrophic cardiomyopathy using nonsurgical septal ablation in a cirrhotic patient prior to liver transplantation

Anil S. Paramesh, Ralph B. Fairchild, Theresa M. Quinn, Fred Leya, Magdalene George, David H. Van Thiel – 21 January 2005 – A 53‐year‐old male with hepatitis C cirrhosis, who had been refused liver transplantation because of hypertrophic cardiomyopathy (HC), underwent nonsurgical septal ablation using alcohol with resolution of his ventricular outflow obstruction. This patient was able to subsequently undergo a successful deceased donor liver transplantation. This is the first reported case of alcohol induced septal ablation being performed in a cirrhotic patient with HC.

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