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Thrombotic microangiopathy-like disorder after living-donor liver transplantation: a single-center experience in Japan
Authors:Hori Tomohide  Kaido Toshimi  Oike Fumitaka  Ogura Yasuhiro  Ogawa Kohei  Yonekawa Yukihide  Hata Koichiro  Kawaguchi Yoshiya  Ueda Mikiko  Mori Akira  Segawa Hajime  Yurugi Kimiko  Takada Yasutsugu  Egawa Hiroto  Yoshizawa Atsushi  Kato Takuma  Saito Kanako  Wang Linan  Torii Mie  Chen Feng  Baine Ann-Marie T  Gardner Lindsay B  Uemoto Shinji
Affiliation:Tomohide Hori,Toshimi Kaido,Fumitaka Oike,Yasuhiro Ogura,Kohei Ogawa,Yukihide Yonekawa,Koichiro Hata,Yoshiya Kawaguchi,Mikiko Ueda,Akira Mori,Yasutsugu Takada,Hiroto Egawa,Atsushi Yoshizawa,Shinji Uemoto,Departments of Hepato-pancreato-biliary,Transplant and Pediatric Surgery,Kyoto University Hospital,Kyoto 606-8507,Japan Hajime Segawa,Department of Critical Care Medicine,Japan Kimiko Yurugi,Department of Transfusion Medicine and Cell Therapy,Kyoto University Hospita...
Abstract:AIM:To investigate thrombotic microangiopathy (TMA)in liver transplantion,because TMA is an infrequent but life-threatening complication in the transplantation field. METHODS:A total of 206 patients who underwent living-donor liver transplantation (LDLT) were evaluated,and the TMA-like disorder (TMALD) occurred in seven recipients. RESULTS:These TMALD recipients showed poor outcomes in comparison with other 199 recipients. Although two TMALD recipients successfully recovered,the other five recipients finall...
Keywords:Thrombotic microangiopathy  Liver transplan-tation  von Willebrand factor  A disintegrin-like domain and metalloproteinase with thrombospondin type 1 motifs  Complication  
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