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In liver cirrhosis (LC),the activity of von Willebrand factor (vWF)-cleaving enzyme ADAMTS13 is reduced in LC patients and consequent progression of liver injury. Remarkably, it has been reported that a severe vWF/ADAMTS13 imbalance develops during liver transplantation (LT) and persists even after LT. Such changes are thought to contribute to postoperative thrombotic complications, which may lead to early adverse events of thrombotic microangiopathy after living-donor LT (LDLT). We investigated whether vWFPCR could predict EAD or graft failure following LT and compared it with FVIIIPCR, procoagulant, such as vWF and FVIII and anticoagulant, such as PC.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low ratio | Liver recipient with low preoperative von Willbrand factor-to-protein C ratio |
| |
| High ratio | Liver recipient with high preoperative von Willbrand factor-to-protein C ratio |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LT | Procedure | Liver transplantation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Early allograft dysfunction | Immediate liver graft function | within 7 days after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Graft failure | re-liver transplantation or death, whichever was first | 90 days |
| intensive care unit stay | days of intensive care unit stay after liver transplant |
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Inclusion Criteria:
patients who underwent LT
Exclusion Criteria:
deceased-donor liver transplant, and insufficient data, ABO-incompatible LT
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End-stage liver disease patients undergoing liver transplant
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Asan Medical center | Seoul | 05505 | South Korea |
The release of data is not within my permission.
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| until the day of patients moving to general wards, through study completion, an average of 1 year |