Lower body impedance for the evaluation of venovenous bypass flow

E Ejlersen, P Sode, C Skak, A Rasmussen, K Espersen, P Kirkegaard, N H Secher – 30 December 2003 – Inferior vena cava (IVC) clamping during liver transplantation causes venous congestion in the splanchnic and IVC beds. A venovenous bypass relieves congestion and improves cardiac output (CO), but the bypass flow required for adequate drainage of the vascular beds is controversial. In this study we evaluated the bypass flow necessary to compensate for the IVC clamping. Lower body impedance (BI) is inversely related to tissue fluid content and was used to reflect congestion.

Hepatic steatosis: A specific sign of hepatitis C reinfection after liver transplantation

Leonardo Baiocchi, Giuseppe Tisone, Gianpiero Palmieri, Maria Rapicetta, Franco Pisani, Giuseppe Orlando, Carlo Umberto Casciani, Mario Angelico – 30 December 2003 – Hepatitis C virus (HCV) infection is one of the major causes leading to orthotopic liver transplantation (OLT) worldwide. Although viral infection persists in almost all patients, the pathology of recurrent HCV infection after OLT is not well characterized.

Disseminated Bartonella infection with granulomatous hepatitis in a liver transplant recipient

Atul Humar, Irving Salit – 30 December 2003 – Disseminated infection with Bartonella spp with granulomatous hepatitis was diagnosed in a liver transplant recipient presenting with fever of unknown origin. Pathological findings on liver biopsy were atypical, with scant granulomas seen only after a second biopsy. The patient responded promptly to antibiotic therapy. Infections caused by Bartonella spp should be considered in transplant recipients with fever of unknown origin.

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