| ISSN |
1948-5182 (online) |
| Open Access |
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Review |
| Article Title |
Systemic hemodynamics in advanced cirrhosis: Concerns during perioperative period of liver transplantation
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Tomohide Hori, Yasuhiro Ogura, Yasuharu Onishi, Hideya Kamei, Nobuhiko Kurata, Motoshi Kainuma, Hideo Takahashi, Shogo Suzuki, Takashi Ichikawa, Shoko Mizuno, Tadashi Aoyama, Yuki Ishida, Takahiro Hirai, Tomoko Hayashi, Kazuko Hasegawa, Hiromu Takeichi, Atsunobu Ota, Yasuhiro Kodera, Hiroyuki Sugimoto, Taku Iida, Shintaro Yagi, Kentaro Taniguchi and Shinji Uemoto |
| Funding Agency and Grant Number |
|
| Corresponding Author |
Tomohide Hori, MD, PhD, Department of Transplant Surgery, Nagoya University Hospital, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan. horit@kuhp.kyoto-u.ac.jp |
| Key Words |
Liver cirrhosis; Portal hypertension; Liver transplantation; Indocyanine green; Hyperdynamic |
| Core Tip |
In patients with advanced cirrhosis who un-dergo liver transplantation (LT), perioperative mana-gement greatly influences the postoperative course and outcome. This review covers key points and unexpected pitfalls of intensive management in these patients. A peculiar systemic hemodynamic state (hyperdynamic state) persists in recipients with cirrhosis even after LT, and stability of optimal systemic hemodynamics is important for adequate portal venous flow (PVF) and successful LT. Reliable parameters for optimal systemic hemodynamics (a balance between cardiac output and blood volume) and adequate PVF (indocyanine clearance) during and after LT are herein described. Transplant physicians should fully understand these peculiar hemodynamic phenomena. |
| Publish Date |
2016-09-14 11:02 |
| Citation |
Hori T, Ogura Y, Onishi Y, Kamei H, Kurata N, Kainuma M, Takahashi H, Suzuki S, Ichikawa T, Mizuno S, Aoyama T, Ishida Y, Hirai T, Hayashi T, Hasegawa K, Takeichi H, Ota A, Kodera Y, Sugimoto H, Iida T, Yagi S, Taniguchi K, Uemoto S. Systemic hemodynamics in advanced cirrhosis: Concerns during perioperative period of liver transplantation. World J Hepatol 2016; 8(25): 1047-1060 |
| URL |
http://www.wjgnet.com/1948-5182/full/v8/i25/1047.htm |
| DOI |
http://dx.doi.org/10.4254/wjh.v8.i25.1047 |
