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Fibrinolysis after reperfusion of liver graft

  • Kin Shing Poon
  • , Chia Chen Chen
  • , Ashok Thorat
  • , Yi Ying Chiang
  • , Long Bin Jeng*
  • , Horng Ren Yang
  • , Te Hung Chen
  • , Chun Chieh Yeh
  • , Kuen Bao Chen
  • *Corresponding author for this work
  • China Medical University Taichung

Research output: Contribution to journal › Journal Article › peer-review

28 Scopus citations

Abstract

From September 2012 to March 2013, a total of 63 adult-to-adult living donor liver transplantations were performed at our institution. All the patients were monitored for their coagulation functions using rotation thromboelastometry (ROTEM, Tem Innovations GmbH) during the procedure at the following points: preoperative baseline, 5 minutes, 30 minutes, and 120 minutes, respectively, after reperfusion of the liver graft. A total of 84.13% of cases (n = 53) revealed fibrinolysis after reperfusion of the graft and the condition was reversed after 30 minutes without any need for additional treatment. No significant coagulopathy was observed during this period in all of the cases. The result of the ROTEM finding must correlate with the clinical situation before instituting any management to avoid the risk of thrombosis of the hepatic artery.

Original languageEnglish
Pages (from-to)41-43
Number of pages3
JournalActa Anaesthesiologica Taiwanica
Volume53
Issue number1
DOIs
StatePublished - 01 03 2015
Externally publishedYes

Bibliographical note

Publisher Copyright:
Copyright © 2015, Taiwan Society of Anesthesiologists. Published by Elsevier Taiwan LLC. All rights reserved.

Keywords

  • fibrinolysis
  • liver transplantation
  • reperfusion

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