Health Condition 1: null- DECOMPENSATED CHRONIC LIVER DISEASE PATIENTS REQUIRING LIVER TRANSPLANTATION
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ADULT to ADULT LIVE DONOR LIVER TRANSPLANT PATIENTS with Decompensated Liver Disease (Acute/Subacute/Chronic) Live Donor suitable for Right lobe donation with 1. Functional Liver Reserve > 30% 2. Adequate Segment 4 drainage to the Left Hepatic Vein 3. Steatosis < 20% assesses by Plain CT
Exclusion criteria
Exclusion criteria: PORTAL VEIN THROMBOSIS IN THE RECIPIENT HEPATOCELLULAR CARCINOMA IN THE RECIPIENT ABO Incompatible Transplants DONOR - TYPE II or TYPE III Portal vein anatomy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| GRAFT PATENCY RATE assessed by DUPLEX ULTRASONOGRAM and confirmed with cross sectional imaging either CT or MRI in the event of thrombosis detected by DuplexTimepoint: First two weeks (daily doppler in the first week and alternate day doppler in the second week) at weekly intervals till 90 days | — |
Secondary
| Measure | Time frame |
|---|---|
| GRAFT FUNCTION : EARLY ALLOGRAFT DYSFUNCTION PRIMARY NON FUNCTION SMALL FOR SIZE DYSFUNCTION Timepoint: First two weeks;ICU Stay Hospital Stay 90 Day mortality Between patent vs thrombosed group Sepsis specific mortality 90 day mortalityTimepoint: 90 days ;MORBIDITY : Complications : Infections (intra-abdominal and blood borne) Vascular : Hepatic Artery thrombosis Portal vein thrombosis Biliary : Bile leak Immunological : Acute cellular rejection Interventions : Reexploration Percutaneous drainage of collectionTimepoint: First 2 weeks | — |
Countries
India
Contacts
DEPARTMENT OF G.I SURGERY AND ORGAN TRANSPLANTATION