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Early Graft Failure

  • Avery L. Smith
  • Srinath Chinnakotla
  • James F. Trotter
Chapter

Introduction

The increasing organ donor shortage and widening indications for transplants has forced the use of liver allografts with expanded criteria that are allocated to sicker and more decompensated recipients, allowing a greater volume of transplants. Furthermore, advances in surgical technique have allowed the use of partial liver grafts both split and living donor in order to increase to the donor pool. Consequently, graft dysfunction, graft failure, and small for size syndrome (SFSS) have become more important than ever. Clinically, post-liver transplant graft failure is a continuum ranging from an ambiguous and easily reversible graft dysfunction to a complete absence of function called primary non-function. The incidence of graft dysfunction varies from 13 to 27% and the incidence of primary non-function affects 4 to 7% of deceased donor liver grafts [1, 2]. With living donor transplantation, cold and warm ischemia times are minimal and donor quality typically excellent...

Keywords

Liver function Acidosis Liver blood flow Small for size syndrome Ischemia-reperfusion injury Early allograft dysfunction 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Avery L. Smith
    • 1
  • Srinath Chinnakotla
    • 2
  • James F. Trotter
    • 1
  1. 1.Baylor University Medical CenterDallasUSA
  2. 2.Department of SurgeryUniversity of MinnesotaMinneapolisUSA

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