Impact of Pretransplant Renal Function on Survival After Liver Transplantation

Pre-transplant Kidney Function Predicts Chronic Kidney Disease After Liver Transplant: Meta-Analysis of Observational Studies

“…Chronic kidney disease among liver transplant recipients has been implicated by several investigators in an increased risk of death and graft failure [27][28][29][30][31]. It is a frequent complication after liver transplantation and occurs in up to 80% of OLT recipients [1].…”

Octreotide/Midodrine Therapy Significantly Improves Renal Function and 30-Day Survival in Patients with Type 1 Hepatorenal Syndrome

“…Better understanding of the pathophysiology behind HRS is helpful when trying to design treatment strategies. While investigators generally agree that HRS carries a poor prognosis, orthotopic liver transplantation (OLT) [9][10][11] emerged in the 1990s as a potentially life-saving modality in the setting of HRS. With respect to medical therapy, vasoconstrictor drugs have also been used with variable success in recent years [12][13][14][15].…”

Current concepts in transplant surgery: liver transplantation today

“…The recipient parameters include the urgent status, MELD score, age, renal dysfunction, mechanical ventilation, serum bilirubin, prothrombin time, ascites, AST, and ALT levels, malnutrition, and coma score [79]. Of the recipient factors, the most predictive and objective parameter on postoperative survival is the degree of pretransplant renal impairment (high creatinine value, >1.72) or hepatorenal syndrome [80][81][82]. The operative factors are the amount of blood loss and blood product administration, the lack of immediate bile production, urine output less than 2.0 ml/kg per h, and warm ischemia time >35 min [25,83,84].…”