title: Fibrinolysis after reperfusion of liver graft.
abstract: From September 2012 to March 2013, a total of 63 adult-to-adult living donor liver transplantations were performed at our institution. All the patients were monitored for their coagulation functions using rotation thromboelastometry (ROTEM, Tem Innovations GmbH) during the procedure at the following points: preoperative baseline, 5 minutes, 30 minutes, and 120 minutes, respectively, after reperfusion of the liver graft. A total of 84.13% of cases (n = 53) revealed fibrinolysis after reperfusion of the graft and the condition was reversed after 30 minutes without any need for additional treatment. No significant coagulopathy was observed during this period in all of the cases. The result of the ROTEM finding must correlate with the clinical situation before instituting any management to avoid the risk of thrombosis of the hepatic artery.
authors: Department of Anesthesiology, China Medical University Hospital, China Medical University, Taichung, Taiwan.
authors: Kin-Shing
authors: KS
authors: Poon
authors: Department of Anesthesiology, China Medical University Hospital, China Medical University, Taichung, Taiwan.
authors: Chia-Chen
authors: CC
authors: Chen
authors: Organ Transplantation Center, China Medical University Hospital, China Medical University, Taichung, Taiwan.
authors: Ashok
authors: A
authors: Thorat
authors: Department of Anesthesiology, China Medical University Hospital, China Medical University, Taichung, Taiwan.
authors: Yi-Ying
authors: YY
authors: Chiang
authors: Organ Transplantation Center, China Medical University Hospital, China Medical University, Taichung, Taiwan. Electronic address: otc@mail.cmuh.org.tw.
authors: Long-Bin
authors: LB
authors: Jeng
authors: Organ Transplantation Center, China Medical University Hospital, China Medical University, Taichung, Taiwan.
authors: Horng-Ren
authors: HR
authors: Yang
authors: Organ Transplantation Center, China Medical University Hospital, China Medical University, Taichung, Taiwan.
authors: Te-Hung
authors: TH
authors: Chen
authors: Organ Transplantation Center, China Medical University Hospital, China Medical University, Taichung, Taiwan.
authors: Chun-Chieh
authors: CC
authors: Yeh
authors: Department of Anesthesiology, China Medical University Hospital, China Medical University, Taichung, Taiwan.
authors: Kuen-Bao
authors: KB
authors: Chen
mesh_terms: D005342:Fibrinolysis; D006801:Humans; D008099:Liver / Q000098:blood supply*; D016031:Liver Transplantation; D015424:Reperfusion; D013916:Thrombelastography
keywords: fibrinolysis; liver transplantation; reperfusion