Effect of calcineurin inhibitors on survival and histologic disease severity in HCV‐infected liver transplant recipients

Marina Berenguer, Victoria Aguilera, Martín Prieto, Fernando San Juan, José M. Rayón, Salvador Benlloch, Joaquín Berenguer – 9 March 2006 – The severity of recurrent hepatitis C virus (HCV) is likely related to several factors. Controversial results have been reported regarding the effect of specific calcineurin‐inhibitors. The aim of this research was to determine whether there are differences on posttransplantation outcome in HCV‐infected patients based on initial immunosuppression. Prospective randomized trial comparing tacrolimus vs.

ABO‐mismatch adult living donor liver transplantation using antigen‐specific immunoadsorption and quadruple immunosuppression without splenectomy

Roberto Troisi, Lucien Noens, Roberto Montalti, Salvatore Ricciardi, Jan Philippé, Marleen Praet, Pasquale Conoscitore, Michele Centra, Bernard de Hemptinne – 9 March 2006 – ABO‐incompatible (ABO‐I) liver transplantation is a controversial issue because of the generally less favorable outcome as compared to compatible transplants. Encouraging results have been shown by the introduction of new strategies to reduce posttransplant‐specific hemagglutinin (HA) titers with plasmapheresis, reinforced immunosuppression (IS), and the use of splenectomy.

Alcohol consumption patterns and predictors of use following liver transplantation for alcoholic liver disease

Andrea DiMartini, Nancy Day, Mary Amanda Dew, Lubna Javed, Mary Grace Fitzgerald, Ashok Jain, John J. Fung, Paulo Fontes – 9 March 2006 – For patients who receive a liver transplant (LTX) for alcoholic liver disease (ALD), investigators are focusing beyond survival to determine specific alcohol use outcomes. Studies suggest the use of alcohol ranges from 8 to 22% for the first post‐transplant year with cumulative rates reaching 30 to 40% by 5 years following transplantation.

Successful adult‐to‐adult living donor liver transplantation in a patient with moderate to severe portopulmonary hypertension

Hideaki Uchiyama, Yuji Soejima, Akinobu Taketomi, Tomoharu Yoshizumi, Noboru Harada, Hideki Ijichi, Yusuke Yonemura, Yoshihiko Maehara – 23 February 2006 – Portopulmonary hypertension (PPHTN) is one of the most devastating consequences of end‐stage liver cirrhosis. When a patient has moderate to severe PPHTN, his or her candidature for liver transplantation is denied. Here we report a successful adult‐to‐adult living donor liver transplantation (LDLT) in a patient with moderate to severe PPHTN.

Validation of cardiovascular risk scores in a liver transplant population

Olaf Guckelberger, Florian Mutzke, Matthias Glanemann, Ulf P. Neumann, Sven Jonas, Ruth Neuhaus, Peter Neuhaus, Jan M. Langrehr – 23 February 2006 – Increased prevalence of cardiovascular risk factors has been acknowledged in liver transplant recipients, and an increased incidence of cardiovascular events has been suspected. Individual risk determination, however, has not yet been established.

Metabolic syndrome: A new view of some familiar transplant risks

James D. Perkins – 23 February 2006 – The metabolic syndrome is a cluster of interrelated common clinical disorders, including obesity, insulin resistance, glucose intolerance, hypertension, and dyslipidemia (hypertriglyceridemia and low HDL cholesterol levels). According to recently defined criteria, the metabolic syndrome is prevalent and is associated with a greater risk of atherosclerotic cardiovascular disease than any of its individual components.

MELD and prediction of post–liver transplantation survival

Shahid Habib, Brian Berk, Chung‐Chou H. Chang, Anthony J. Demetris, Paulo Fontes, Igor Dvorchik, Bijan Eghtesad, Amadeo Marcos, A. Obaid Shakil – 23 February 2006 – The model for end‐stage liver disease (MELD) was developed to predict short‐term mortality in patients with cirrhosis. It has since become the standard tool to prioritize patients for liver transplantation. We assessed the value of pretransplant MELD in the prediction of posttransplant survival. We identified adult patients who underwent liver transplantation at our institution during 1991–2002.

The pediatric end‐stage liver disease (PELD) model as a predictor of survival benefit and posttransplant survival in pediatric liver transplant recipients

Neal R. Barshes, Timothy C. Lee, Ian W. Udell, Christine A. O'Mahoney, Saul J. Karpen, Beth A. Carter, John A. Goss – 23 February 2006 – The pediatric end‐stage liver disease (PELD) model accurately estimates 90‐day waitlist mortality for pediatric liver transplant candidates, but it has been unclear if PELD can identify patients who will derive survival benefit from undergoing liver transplantation (LT), if it correlates with posttransplant survival, or if it can identify patients for whom LT would be futile.

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