Intravascular thrombosis and thromboembolism during liver transplantation: Antifibrinolytic therapy implicated?

被引:63
作者
Ramsay, MAE
Randall, HB
Burton, EC
机构
[1] Baylor Univ, Med Ctr, Dept Anesthesiol & Pain Management, Dallas, TX 75246 USA
[2] Baylor Univ, Med Ctr, Dept Transplant Surg, Dallas, TX 75246 USA
[3] Baylor Univ, Med Ctr, Dept Pathol & Lab Med, Baylor Reg Transplant Inst, Dallas, TX 75246 USA
关键词
D O I
10.1002/lt.20064
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
This case report describes a patient who underwent orthotopic liver transplantation and developed extensive hyper-acute venous and arterial intravascular thromboses and thromboemboli intraoperatively. The patient was receiving antifibrinolytic therapy with aprotinin. The safety of routine aprotinin therapy in liver transplantation is examined. The value of the thrombelastograph (TEG) as a qualitative assessment of the coagulation system is emphasized.
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收藏
页码:310 / 314
页数:5
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