Simultaneous liver kidney transplantation.

Kidney injury is frequently seen in patients with end-stage liver disease from cirrhosis and liver failure. Among selected patients, simultaneous liver kidney (SLK) transplantation provides improved post-transplant graft and patient outcomes compared to liver transplantation (LT) alone. We conducted the review of the existing literature on SLK transplant criteria and outcomes.

Transcatheter aortic valve replacement in patients with cirrhosis.

Background: Patients with cirrhosis who undergo cardiac operation with extracorporeal circulation are at high risk for operative morbidity and mortality. Transcatheter aortic valve replacement (TAVR) can obviate the need for cardiopulmonary bypass and may reduce operative morbidity in comparison to standard aortic valve replacement (SAVR) in select patients.

Methods: Review of 18 patients with aortic valve stenosis and cirrhosis treated with TAVR (n=6) or SAVR (n=12).

Acute confusional state following liver transplantation for alcoholic liver disease.

Background: Neurologic complications occur in 10% to 20% of patients after liver transplantation.

Objective: To assess postoperative neurologic complications in relation to increased use of liver transplantation for alcoholic liver disease.

Methods: Neurologic complications in 40 patients who received liver transplantation for alcoholic liver disease were compared with those in 47 patients who had transplantation for hepatitis C.