Liver Cirrhosis Clinical Trial
Official title:
Hepatopulmonary Syndrome and Postoperative Complications After Liver Transplantation : A Case-control Study.
Hepatopulmonary Syndrome is a respiratory complication of liver cirrhosis defined as a
triad: hypoxemia (PaO2 < 80 mmHg in room air), chronic liver disease and intrapulmonary
vasodilatations. Its prevalence varies between 4 and 32%. Numerous treatments have been
tried but the only efficient therapy to cure the syndrome is liver transplantation. Without
transplantation it is associated with a higher mortality which is the reason why
hepatopulmonary syndrome patients have a higher priority to transplantation. However it
appears in some restricted studies that hepatopulmonary syndrome is associated with more
postoperative complications (infections, vascular and biliary complications, prolonged
length of mechanical ventilation…).
The investigators hypothesised that hepatopulmonary syndrome patients have more
postoperative complications after liver transplantation than non hepatopulmonary syndrome
patients matched on age, MELD (Model for End-Stage Liver Disease) score, comorbidities,
perioperative transfusion and noradrenaline doses.
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