A5043215722- Organ Transplantation Techniques and Outcomes
- Liver Disease and Transplantation
- Retinal Diseases and Treatments
- Liver Disease Diagnosis and Treatment
- Glaucoma and retinal disorders
- Ocular Diseases and Behçet’s Syndrome
- Organ Donation and Transplantation
- Ocular Oncology and Treatments
- Hepatitis B Virus Studies
- Hepatitis C virus research
- Liver Diseases and Immunity
- Retinal and Macular Surgery
- Hepatocellular Carcinoma Treatment and Prognosis
- Ocular Infections and Treatments
- Renal Transplantation Outcomes and Treatments
- Congenital Diaphragmatic Hernia Studies
- Renal and related cancers
- Neurological Complications and Syndromes
- Urological Disorders and Treatments
- Congenital Anomalies and Fetal Surgery
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Angiogenesis and VEGF in Cancer
- Cancer, Hypoxia, and Metabolism
- Liver physiology and pathology
- CNS Lymphoma Diagnosis and Treatment
Cleveland Clinic
2008-2024
Abu Dhabi Health Services
2024
Hospital de La Ribera
2014-2023
Eastern Hepatobiliary Surgery Hospital
2014
Second Military Medical University
2014
Mayo Clinic
2008-2010
Hospital de Sagunto
2009-2010
Mayo Clinic in Arizona
2008
Azienda Ospedaliero-Universitaria di Modena
2007
University of Modena and Reggio Emilia
2007
Splenic artery embolization (SAE) improves hepatic (HA) flow in liver transplant (OLT) recipients with so-called splenic steal syndrome. We propose that SAE actually HA by reducing the buffer response (HABR). Patient 1: On postoperative day (POD) 1, Doppler ultrasonography (US) showed patent vasculature resistive index (RI) of 0.8. POD 4, aminotransferases rose dramatically; his RI was 1.0 no diastolic flow. Octreotide begun, but on 5 US reverse signal distal branches. After SAE, markedly...
In Brief Purpose: To evaluate the rate of infectious endophthalmitis associated with intravitreal injection bevacizumab, ranibizumab, and pegaptanib sodium. Methods: A retrospective review patients who received injections sodium was undertaken. Cases clinical diagnoses or suspected resulting from were identified reviewed. From these data, risk per estimated. Results: Three developed after injection. The 0.00077 (0.077%). 1 1,291 injections. Conclusion: similar compared some trials obtained...
Objective: Living donor liver transplantation (LDLT) using small grafts, especially left lobe grafts (H1234-MHV) (LLG), continues to be a challenge due small-for-size syndrome (SFSS). We herein demonstrate that with surgical modifications, outcomes can improved. Methods: Between 2012 and 2020, we performed 130 adult LDLT 61 (47%) LLG in single Enterprise. The median graft-to-recipient weight ratio was 0.84%, <0.7% accounting for 22%. Splenectomy 72 (56%) patients inflow modulation before...
Under the "sickest first" Model for End-Stage Liver Disease (MELD) allocation, livers amenable to splitting are most often allocated patients unsuitable split liver transplantation (SLT). Our experience with SLT using hemilivers was reviewed. From April 2004 June 2012, we used 25 lobar grafts (10 left lobes and 15 right lobes) adult-sized recipients. Twelve recipients were transplanted primary offers, 13 leftover grafts. Six shared other centers. The data compared matched whole (n = 121). In...
The aim of the study is to define role HABR in pathophysiology SFS liver graft and demonstrate that restoration hepatic artery flow (HAF) has a significant impact on outcome improves survival. Nine pigs received partial allografts 60% volume, Group 1; 8 animals 20% LV grafts, 2; 9 grafts with adenosine infusion, 3. HAF portal vein (PVF) were recorded at 10 min, 60 min 90 post reperfusion, POD 3 7 1, daily 2 up 14. Baseline PVF (ml/100g/min) 29 ± 12 (mean SD) 74 respectively, 28% total blood...
Recurrence of hepatitis C virus (HCV) can be difficult to distinguish from acute cellular rejection (ACR) following liver transplantation. The Cylex Immune Function Assay (ImmuKnow) provides objective measure recipient's immune function. goal is assess the ability this assay these similar conditions. A retrospective review was performed in 54 recipients with HCV. ImmuKnow assays were measured allograft biopsies. Levels adenosine triphosphate (ATP) release CD4+ T cells (ng/mL) compared biopsy...
The presence of portal vein thrombosis (PVT) is still considered by many transplantation centers to be an absolute contraindication liver because the technical difficulties that it can present and its association with a higher rate patient morbidity mortality. Renoportal bypass (RPB) help remove these barriers. This study describes our institution's experience RPB through description new successful simplified surgical strategy, graft outcome analysis, intraoperative vascular flow...
Vascular endothelial growth factor (VEGF) is pivotal in the development of hepatocellular carcinoma (HCC). Studies have demonstrated prognostic value circulating VEGF levels patients undergoing liver resection or locoregional therapy (LRT) for HCC. We investigated significance preoperative plasma with HCC transplantation (LT) at a Western transplant center. Pre‐LT were measured an enzyme‐linked immunoassay 164 LT. The level was correlated clinicopathological variables and overall...
Objective: To evaluate the short- and long-term outcomes of RPA in a large multicentric series. Summary Background: The current knowledge on for portal reconstruction during LT patients with diffuse PVT splenorenal shunt is poor limited to case reports small Methods: All consecutive LTs performed 5 centers between 1998 2020 were included. was physiological provided it drained splanchnic venous return through (≥ 1 cm diameter). Complications PHT, patency, patient graft survival assessed....
In Brief Purpose: To correlate fundus autofluorescence (FAF) in choroidal metastases with clinical changes overlying the lesions using confocal scanning laser ophthalmoscope. Methods: Retrospective chart review of 15 metastatic tumors 14 eyes 11 consecutive patients. The patients underwent ophthalmoscope to compare findings and FAF. Correlation between increased FAF was defined as complete, partial, or no correlation. Results: Of patients, 8 (73%) were women, average age 56 years. All...
To report three cases of choroidal neovascularization after hormonal treatment for ovarian stimulation during a fertility therapy.A comprehensive ophthalmic examination was performed in all including best-corrected visual acuity, color fundus examination, fluorescein angiography, and optical coherence tomography.Three females their thirties developed unilateral acuity vision loss metamorphopsia. They were undergoing supplementation with gonadotropins at the moment presentation. Intravitreal...
Background. Calcineurin inhibitor (CNI)-based immunosuppression in liver transplantation (LTx) is associated with acute and chronic deterioration of kidney function. Delaying CNI initiation by using induction rabbit antithymocyte globulin (rATG) may provide kidneys adequate time to recover from a perioperative insult reducing the risk early post-LTx renal deterioration. Methods. This was an open-label, multicenter, randomized controlled clinical trial comparing use rATG delayed (d 10)...
Case report: We present the case of a newborn baby in whom we observed aniridia, congenital glaucoma and edematous corneas, without clearance cornea after surgery, keratoplasty was considered.The patient had no evidence systemic diseases deletion chromosome 11.Discussion: It is important to perform thorough ophthalmological exploration patients with aniridia due other that can be associated it.We unusual which white corneas coexisted baby.To our knowledge, such cases have only been reported...
Abstract Orthotopic liver transplantation (OLT) is the treatment of choice for end-stage disease. However, OLT may be associated with certain postoperative management challenges. Though refractory ascites (RA) not a common complication post-OLT, it can have significant impact on patient outcomes and quality life. RA post-OLT caused by portal hyperperfusion. In this article, systematic review literature was pursued to analyze effectiveness splenic artery embolization (SAE) after OLT. Data...