Acute renal failure after liver transplantation: incidence, etiology, therapy, and outcome

Transplantation Proceedings
G JungeP Neuhaus

Abstract

Acute renal failure (ARF) was a frequent complication after orthotopic liver transplantation (OLT) when ARF was defined by a calculated glomerular filtration rate decrease of >50% or by a doubled serum creatinine above 2.5 mg/dL within the first week after OLT. We analyzed 1352 liver transplant recipients in retrospective fashion with regard to the incidence, etiology, therapy, and outcome of ARF; 162 patients developed ARF within the first week after OLT (12%), among whom 157 patients (97%) were recompensated by postoperative day 28. Altogether 52 patients (32%) received an average of 6 hemodialysis treatments, excluding the 5 patients (3%) who developed end-stage renal failure. Risk factors for this complication included hepatorenal syndrome type II, a glomerular filtration rate of <50 mL/min, and a diagnosis of hepatitis C.

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Citations

Aug 15, 2014·American Journal of Surgery·Lisa M McElroyDaniela P Ladner
Apr 29, 2014·Transplantation Proceedings·Y SirivatanauksornS Asavakarn
Nov 14, 2012·Transplantation Proceedings·A KarapanagiotouN Gritsi-Gerogianni
Oct 28, 2009·Transplantation Proceedings·A RymarzM Krawczyk
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Dec 23, 2017·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Zhi-Qiang ZhouXue-Ren Wang
Mar 25, 2016·World Journal of Transplantation·Patricia WiesenPierre Damas
Jun 1, 2007·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Richard RuizGoran B Klintmalm
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Mar 22, 2018·Arquivos De Gastroenterologia·Raimundo Martins Gomes JuniorElizabeth De Francesco Daher
Jan 25, 2019·Journal of Transplantation·Ehab E Abdel-KhalekMohamed Abdel-Wahab
Apr 12, 2017·Critical Care : the Official Journal of the Critical Care Forum·Jenny Skytte LarssonSven-Erik Ricksten
May 9, 2021·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Victor DongConstantine J Karvellas
Dec 6, 2008·Medicina intensiva·G Seller-PérezG Quesada-García

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