Effect of Aprotinin on Liver Injury after Transplantation of Extended Criteria Donor Grafts in Humans: A Retrospective Propensity Score Matched Cohort Analysis.

aprotinin extended donor criteria human liver transplantation

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
10 Nov 2021
Historique:
received: 22 09 2021
revised: 29 10 2021
accepted: 08 11 2021
entrez: 27 11 2021
pubmed: 28 11 2021
medline: 28 11 2021
Statut: epublish

Résumé

The number of patients awaiting liver transplantation still widely exceeds the number of donated organs available. Patients receiving extended criteria donor (ECD) organs are especially prone to an aggravated ischemia reperfusion syndrome during liver transplantation leading to massive hemodynamic stress and possible impairment in organ function. Previous studies have demonstrated aprotinin to ameliorate reperfusion injury and early graft survival. In this single center retrospective analysis of 84 propensity score matched patients out of 274 liver transplantation patients between 2010 and 2014 (OLT), we describe the association of aprotinin with postreperfusion syndrome (PRS), early allograft dysfunction (EAD: INR 1,6, AST/ALT > 2000 within 7-10 days) and recipient survival. The incidence of PRS (52.4% vs. 47.6%) and 30-day mortality did not differ (4.8 vs. 0%;

Identifiants

pubmed: 34830514
pii: jcm10225232
doi: 10.3390/jcm10225232
pmc: PMC8623344
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Anna B Roehl (AB)

Department of Anesthesiology, Faculty of Medicine, RWTH Aachen University, 52074 Aachen, Germany.

Anne Andert (A)

Department of General, Visceral and Transplantation Surgery, Faculty of Medicine, RWTH Aachen University, 52074 Aachen, Germany.

Karsten Junge (K)

Department of General and Visceral Surgery, Rhein-Maas Hospital, 52146 Würselen, Germany.

Ulf P Neumann (UP)

Department of General, Visceral and Transplantation Surgery, Faculty of Medicine, RWTH Aachen University, 52074 Aachen, Germany.

Marc Hein (M)

Department of Anesthesiology, Faculty of Medicine, RWTH Aachen University, 52074 Aachen, Germany.

Felix Kork (F)

Department of Anesthesiology, Faculty of Medicine, RWTH Aachen University, 52074 Aachen, Germany.

Classifications MeSH