Publications by authors named "H Bohorquez"
Background: Organ procurement from brain-dead pregnant women is rare and typically occurs postfetal delivery. In this case report, we describe organ procurement from a brain-dead woman in her third trimester of pregnancy with a nonviable fetus remaining in utero.
Case Summary: We report a 33-year-old woman at 38 weeks gestation who suffered anoxic brain injury following cardiac arrest due to suspected opioid overdose.
Article Synopsis
- Normothermic regional perfusion (NRP) is a promising method for recovering livers from controlled donation after circulatory death (cDCD) donors, potentially enhancing transplant outcomes and expanding the donor pool in the US, where only 11.4% of deceased donor liver transplants are from cDCD donors.
- This study compared liver transplant outcomes from cDCD donors recovered using NRP versus standard super rapid recovery (SRR) across 17 US transplant centers, focusing on outcomes like ischemic cholangiopathy and post-transplant complications.
- Results showed that livers recovered via NRP had shorter hospital stays (7 days vs. 10 days) and none experienced primary
Intraoperative Renal Replacement Therapy in Orthotopic Liver Transplantation.
Adv Kidney Dis Health
July 2023
Acute kidney injury in patients admitted to the hospital for liver transplantation is common, with up to 80% of pretransplant patients having some form of acute kidney injury. Many of these patients start on dialysis prior to their transplant and have it continued intraoperatively during their surgery. This review discusses the limited existing literature and expert opinion around the indications and outcomes around intraoperative dialysis (intraoperative renal replacement therapy) during liver transplantation.
View Article and Find Full Text PDFMortality on the liver waitlist remains unacceptably high. Donation after circulatory determination of death (DCD) donors are considered marginal but are a potentially underutilized resource. Thoraco-abdominal normothermic perfusion (TA-NRP) in DCD donors might result in higher quality livers and offset waitlist mortality.
View Article and Find Full Text PDFBackground & Aims: The concept of benchmarking is established in the field of transplant surgery; however, benchmark values for donation after circulatory death (DCD) liver transplantation are not available. Thus, we aimed to identify the best possible outcomes in DCD liver transplantation and to propose outcome reference values.
Methods: Based on 2,219 controlled DCD liver transplantations, collected from 17 centres in North America and Europe, we identified 1,012 low-risk, primary, adult liver transplantations with a laboratory MELD score of ≤20 points, receiving a DCD liver with a total donor warm ischemia time of ≤30 minutes and asystolic donor warm ischemia time of ≤15 minutes.