United States practice patterns in the use of transesophageal echocardiography during adult liver transplantation.

Objective: To characterize contemporary practice patterns in the use of transesophageal echocardiography during adult liver transplantation and to identify factors preventing more frequent use.

Design: Online questionnaire.

Setting: Liver transplantation centers in the United States performing 12 or more adult liver transplants in 2011.

The successful use of low-dose recombinant tissue plasminogen activator for treatment of intracardiac/pulmonary thrombosis during liver transplantation.

Intracardiac thrombosis and pulmonary embolism are uncommon complications during liver transplantation but carry a high mortality rate. We report the successful use of low-dose recombinant tissue plasminogen activator (0.5-4 mg) administration in 4 patients.