Open AccessPitfalls in the hemostatic management of a liver transplantation
Author(s) -
Yehuda Raveh,
RamoicolauRaducu
Publication year - 2022
Publication title -
annals of clinical gastroenterology and hepatology
Language(s) - English
Resource type - Journals
ISSN - 2640-2750
DOI - 10.29328/journal.acgh.1001032
Subject(s) - medicine , hyperfibrinolysis , hemostasis , liver transplantation , thrombosis , transplantation , disseminated intravascular coagulation , intensive care medicine , portal vein thrombosis , coagulation , surgery , coagulopathy
Liver Transplantation is fraught with thrombo-hemorrhagic complications, due to the precarious hemostasis of the recipient, anhepatic conditions, and the release of hemostatic factors from the allograft. Disseminated intravascular coagulation and its “flat-line” variant are common causes of hemorrhage and thrombosis, and frequently force the clinician along with a delicate balance between hemorrhage and thrombosis. We present a case that highlights some of the more challenging diagnostic and management decisions in liver transplantation and presents a safe and carefully structured approach to hyperfibrinolysis in liver transplantation.