14th Congress of the Asian Society of Transplantation - Part IILiver transplantationRelationship Between Patients With or Without a History of Esophageal Varices Bleeding and the Changes in Hemodynamics During Inferior Vena Cava Clamping in Living Donor Liver Transplantation
Section snippets
Patients and Methods
Approval to review patient charts was obtained from the Institutional Review Board of our institution (104-2198B). A total of 50 anesthesia charts of patients undergoing living donor liver transplantation performed between May and October 2010 were reviewed, analyzed, and compared retrospectively. Anesthesia with minimally invasive cardiac monitoring (Flotrac Sensor, Edwards Lifesciences LLC; Irvine, CA; and Vigileo monitor, Edwards Lifesciences LLC; Irvine, CA) has been reported previously [2]
Results
As shown in Table 1, 33 patients met the criteria for group 1 and 17 for group 2. The measured hemodynamic parameters before and 5 minutes after clamping of the IVC and portal vein were all significantly different when compared to their respective preclamping values. The incidences with a decrease in CI of ≥20%, ≥30%, and ≥40% 5 minutes after clamping of the IVC and portal vein were not significantly different between the 2 groups (Table 1).
Discussion
Our results shows that the hemodynamic parameters of the patients were all significantly affected by cross-clamping of the IVC and portal vein without using veno-venous bypass during the anhepatic phase of the LDLT procedure, as reported by others [2], [3]. However, the numbers of patients between groups who had a decreased CI of ≥20%, ≥30%, or ≥40% were not significantly different between groups (Table 1). This indicates that a history of EV bleeding before LDLT affects the hemodynamic
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Cited by (2)
Weaning of Veno-venous Bypass in Liver Transplantation: A Single Center Experience
2018, Transplantation ProceedingsPreclinical evaluation of a veno‑venous bypass device for liver transplantation based on the principle of magnetic levitation drive
2022, Zhonghua Wai Ke Za Zhi / Chinese Journal of Surgery
Y.-E. Lee and E. Huang contributed equally as first authors in this work.