Hepatic Vein Flow Index During Orthotopic Liver Transplantation as a Predictive Factor for Postoperative Early Allograft Dysfunction.

Morita Y, Kariya T, Nagai S, Itani A, Isley M, Tanaka K

ObjectivesThe authors devised a hepatic vein flow index (HVFi), using intraoperative transesophageal echocardiography and graft weight, and investigated its predictive value for postoperative graft function in orthotopic liver transplant.DesignProspective clinical trial.Setting,Single-center tertiary academic hospital.ParticipantsNinety-seven patients who had orthotopic liver transplant with the piggy-back technique between February 2018 and December 2019.Measurements and main resultsHVFi was defined with HV flow/graft weight. Patients who developed early graft dysfunction (EAD) had low HVFi in systole (HVFi sys, 1.23 v 2.19 L/min/kg, p

Keywords:

Hepatic Veins

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Humans

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Liver Transplantation

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Postoperative Period

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Prospective Studies

,

Allografts