Frequency of and factors associated with vascular complications after pediatric liver transplantation ,
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal de Pediatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572014000200169 |
Resumo: | OBJECTIVE:to evaluate the frequency and factors associated with vascular complications after pediatric liver transplantation.METHOD:risk factors were evaluated in 99 patients under 18 years of age with chronic liver disease who underwent deceased donor liver transplantation (DDLT) between March of 1995 and November of 2009 at the Hospital de Clínicas de Porto Alegre, Brazil. The variables analyzed included donor and recipient age, gender, and weight; indication for transplant; PELD/MELD scores; technical aspects; postoperative vascular complications; and survival.RESULTS:vascular complications occurred in 19 patients (19%). Arterial events were most common, occurred earlier in the postoperative period, and were associated with high graft loss and mortality rates. In the multivariate analysis, the following factors were identified: portal vein diameter < 3 mm, donor-to-recipient body weight ratio (DRWR), prolonged ischemic time, and use of arterial grafts.CONCLUSION:the choice of treatment depends on the timing of diagnosis; however, in this study, surgical revision or correction produced worse outcomes than percutaneous angioplasty. The reduction of risk factors and early detection of vascular complications are key elements to a successful transplantation. |
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Jornal de Pediatria (Online) |
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Frequency of and factors associated with vascular complications after pediatric liver transplantation ,ThrombosisHepatic arteryPortal veinMorbidityMortalityOBJECTIVE:to evaluate the frequency and factors associated with vascular complications after pediatric liver transplantation.METHOD:risk factors were evaluated in 99 patients under 18 years of age with chronic liver disease who underwent deceased donor liver transplantation (DDLT) between March of 1995 and November of 2009 at the Hospital de Clínicas de Porto Alegre, Brazil. The variables analyzed included donor and recipient age, gender, and weight; indication for transplant; PELD/MELD scores; technical aspects; postoperative vascular complications; and survival.RESULTS:vascular complications occurred in 19 patients (19%). Arterial events were most common, occurred earlier in the postoperative period, and were associated with high graft loss and mortality rates. In the multivariate analysis, the following factors were identified: portal vein diameter < 3 mm, donor-to-recipient body weight ratio (DRWR), prolonged ischemic time, and use of arterial grafts.CONCLUSION:the choice of treatment depends on the timing of diagnosis; however, in this study, surgical revision or correction produced worse outcomes than percutaneous angioplasty. The reduction of risk factors and early detection of vascular complications are key elements to a successful transplantation.Sociedade Brasileira de Pediatria2014-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572014000200169Jornal de Pediatria v.90 n.2 2014reponame:Jornal de Pediatria (Online)instname:Sociedade Brasileira de Pediatria (SBP)instacron:SBPE10.1016/j.jped.2013.08.010info:eu-repo/semantics/openAccessOrlandini,MarianaFeier,Flávia HeinzJaeger,BrunnaKieling,CarlosVieira,Sandra GonçalvesZanotelli,Maria Luciaeng2015-10-08T00:00:00Zoai:scielo:S0021-75572014000200169Revistahttp://www.jped.com.br/https://old.scielo.br/oai/scielo-oai.php||jped@jped.com.br1678-47820021-7557opendoar:2015-10-08T00:00Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP)false |
dc.title.none.fl_str_mv |
Frequency of and factors associated with vascular complications after pediatric liver transplantation , |
title |
Frequency of and factors associated with vascular complications after pediatric liver transplantation , |
spellingShingle |
Frequency of and factors associated with vascular complications after pediatric liver transplantation , Orlandini,Mariana Thrombosis Hepatic artery Portal vein Morbidity Mortality |
title_short |
Frequency of and factors associated with vascular complications after pediatric liver transplantation , |
title_full |
Frequency of and factors associated with vascular complications after pediatric liver transplantation , |
title_fullStr |
Frequency of and factors associated with vascular complications after pediatric liver transplantation , |
title_full_unstemmed |
Frequency of and factors associated with vascular complications after pediatric liver transplantation , |
title_sort |
Frequency of and factors associated with vascular complications after pediatric liver transplantation , |
author |
Orlandini,Mariana |
author_facet |
Orlandini,Mariana Feier,Flávia Heinz Jaeger,Brunna Kieling,Carlos Vieira,Sandra Gonçalves Zanotelli,Maria Lucia |
author_role |
author |
author2 |
Feier,Flávia Heinz Jaeger,Brunna Kieling,Carlos Vieira,Sandra Gonçalves Zanotelli,Maria Lucia |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Orlandini,Mariana Feier,Flávia Heinz Jaeger,Brunna Kieling,Carlos Vieira,Sandra Gonçalves Zanotelli,Maria Lucia |
dc.subject.por.fl_str_mv |
Thrombosis Hepatic artery Portal vein Morbidity Mortality |
topic |
Thrombosis Hepatic artery Portal vein Morbidity Mortality |
description |
OBJECTIVE:to evaluate the frequency and factors associated with vascular complications after pediatric liver transplantation.METHOD:risk factors were evaluated in 99 patients under 18 years of age with chronic liver disease who underwent deceased donor liver transplantation (DDLT) between March of 1995 and November of 2009 at the Hospital de Clínicas de Porto Alegre, Brazil. The variables analyzed included donor and recipient age, gender, and weight; indication for transplant; PELD/MELD scores; technical aspects; postoperative vascular complications; and survival.RESULTS:vascular complications occurred in 19 patients (19%). Arterial events were most common, occurred earlier in the postoperative period, and were associated with high graft loss and mortality rates. In the multivariate analysis, the following factors were identified: portal vein diameter < 3 mm, donor-to-recipient body weight ratio (DRWR), prolonged ischemic time, and use of arterial grafts.CONCLUSION:the choice of treatment depends on the timing of diagnosis; however, in this study, surgical revision or correction produced worse outcomes than percutaneous angioplasty. The reduction of risk factors and early detection of vascular complications are key elements to a successful transplantation. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572014000200169 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572014000200169 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.jped.2013.08.010 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
dc.source.none.fl_str_mv |
Jornal de Pediatria v.90 n.2 2014 reponame:Jornal de Pediatria (Online) instname:Sociedade Brasileira de Pediatria (SBP) instacron:SBPE |
instname_str |
Sociedade Brasileira de Pediatria (SBP) |
instacron_str |
SBPE |
institution |
SBPE |
reponame_str |
Jornal de Pediatria (Online) |
collection |
Jornal de Pediatria (Online) |
repository.name.fl_str_mv |
Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP) |
repository.mail.fl_str_mv |
||jped@jped.com.br |
_version_ |
1752122319580430336 |