Days alive and out of hospital after liver transplant: comparing a patient-centered outcome between recipients of grafts from donation after circulatory and brain deaths

Frasco, Peter E.; Mathur, Amit K.; Chang, Yu Hui; Alvord, Jeremy; Poterack, Karl A.; Khurmi, Narjeet; Bauer, Isabel L.; Aqel, Bashar

doi:10.1016/j.ajt.2022.10.007

Cited by 4 publications

(1 citation statement)

References 53 publications

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“…A meta-analysis conducted by O'Neill et al showed an overall incidence of biliary complications at 26% for DCD liver grafts, compared to 16% in DBD grafts [91]. A single-center retrospective study also found that IC rates were significantly higher among DCD recipients compared to DBD patients [92].…”

Section: Biliary Complicationsmentioning

confidence: 96%

Current Understanding of Marginal Grafts in Liver Transplantation

Xiang,

Li,

Zeng

et al. 2024

Aging and disease

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End-stage liver disease (ESLD), stemming from a spectrum of chronic liver pathologies including chronic liver failure, acute cirrhosis decompensation and hepatocellular carcinoma, imposes a significant global healthcare burden. Liver transplantation (LT) remains the only treatment for ESLD. However, the escalating mortality on transplant waitlists has prompted the utilization of marginal liver grafts in LT procedures. These grafts primarily encompass elderly livers, steatotic livers, livers from donation after circulatory death, split livers and those infected with the hepatitis virus. While the expansion of the donor pool offers promise, it also introduces concomitant risks. These encompass graft failure, biliary and cardiovascular complications, the recurrence of liver disease and reduced patient and graft survival. Consequently, various established strategies, ranging from improved donorrecipient matching to surgical interventions, have emerged to mitigate these risks. This article undertakes a comprehensive assessment of the current landscape, evaluating the viability of diverse marginal liver grafts. Additionally, it synthesizes approaches aimed at enhancing the quality of such marginal liver grafts. The overarching objective is to augment the donor pool and ameliorate the risk factors associated with the shortage of liver grafts.

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Section: Biliary Complicationsmentioning

confidence: 96%