Comparison of outcome in liver transplant patients with renal insufficiency and intraoperative CVVH

Authors

J Gosnell, Henry Ford HealthFollow
Mohamed Safwan, Henry Ford Health
Kelly Collins, Henry Ford HealthFollow
Michael Rizzari, Henry Ford HealthFollow
Atsushi Yoshida, Henry Ford HealthFollow
Marwan Abouljoud, Henry Ford HealthFollow
Shunji Nagai, Henry Ford HealthFollow

Recommended Citation

Gosnell J, Safwan M, Collins K, Rizzari M, Yoshida A, Abouljoud M, and Nagai S. Comparison of outcome in liver transplant patients with renal insufficiency and intraoperative cvvh. Am J Transplant 2018; 18(Suppl 4):961.

Document Type

Conference Proceeding

Publication Date

2018

Publication Title

Am J Transplant

Abstract

Background: Intraoperative continuous veno-venous hemofi ltration (CVVH) is an important tool to manage liver transplant (LT) patients with renal insufficiencies. Methods: All LT patients with renal insufficiencies between January 2005 and May 2017 (n=142) were assigned to three groups, those who underwent elective intra-op CVVH (dialysis prior to transplant, necessitating intraoperative CVVH, LTE n=70), unplanned intra-op CVVH (patients who did not require dialysis prior to transplant but were found to have borderline renal insufficiency at the time of LT, LTU n=15) and those with undialysed renal insufficiency (No intraop CVVH or dialysis prior to transplant but had GFR/min, LTD n=57). Postoperative complication, graft/patient survival, and long-term renal function were investigated. Results: MELD at transplant was higher in the LTE group (37.5+7.1) compared to the LTU (30.6±10.7) and LTD group (31.7±8.3, P

Volume

18

Issue

Suppl 4

First Page

961