Elsevier

Transplantation Proceedings

Volume 33, Issues 1–2, February–March 2001, Pages 1486-1487
Transplantation Proceedings

Liver transplantation
Causes of retransplantation after primary liver transplantation in 4000 consecutive patients: 2 to 19 years follow-up

https://doi.org/10.1016/S0041-1345(00)02563-XGet rights and content

Section snippets

Results

In the follow-up period 774 patients (19.4%) received a second transplant, 148 (3.7%) received a third transplant, 20 (0.5%) received a fourth transplant, and five patients (0.13%) received more than four allografts. The rate of retransplantation and the causes of retransplantation in various eras are shown in Table 1, Table 2. The overall rate of retransplantation has declined significantly in each subsequent era: from 33.4% in era A to 23.7% in era B and 13.4% in era C. (P = .001). This may

References (2)

  • T.E Starzl et al.

    N Engl J Med

    (1989)
  • A.B Jain et al.

    Ann Surg

    (2000)

Cited by (65)

  • Liver Retransplantation: How Much Is Too Much?

    2017, Clinics in Liver Disease
    Citation Excerpt :

    In several studies, there are now fewer retransplants for acute and chronic rejection and less for ischemic complications and disease recurrence, but PNF rates have remained about the same.5,9 Rates for hepatic arterial thrombosis (HAT), as reported by Kashyap and colleagues,9 decreased over 17 years from 8.1% to 3.7%, but Pfitzmann and colleagues5 reported that retransplant rates for HAT increased in their population, possibly because of the use of more marginal liver donors and performing transplants in sicker patients. There is also a shift away from attempting to manage early HAT expectantly with management of biliary complications toward early retransplantation.

  • Retransplantation

    2015, Transplantation of the Liver: Third Edition
  • Histopathology of Liver Transplantation

    2015, Transplantation of the Liver: Third Edition
  • Liver retransplantation in adults: A 20-year experience of one center in southern Brazil

    2013, Annals of Hepatology
    Citation Excerpt :

    Thus, primary dysfunction/nonfunction is one of the major causes of early LReTx,12,13 which has then been viewed as an ethically required practice. Late LReTx, occurring months or years after the initial transplant, is usually performed for recurrent disease, late technical problems, and more rarely, chronic rejection.14. –16 Recurrence of primary disease in the graft, especially hepatitis C virus (HCV) infection, has become the most common indication for late LReTx.12,14,16

View all citing articles on Scopus
View full text