Pitfalls in the hemostatic management of a liver transplantation | Zendy

Yehuda Raveh | Zendy; RamoicolauRaducu | Zendy

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Pitfalls 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.

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