Central venous thrombosis and perioperative vascular access in adult intestinal transplantation

Takashi Matsusaki, T. Sakai, C. D. Boucek, K. Abu-Elmagd, L. M. Martin, N. Amesur, F. Leland Thaete, I. A. Hilmi, R. M. Planinsic, S. Aggarwal

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background. Venous access is crucial in intestinal transplantation, but a thrombosed venous system may prevent the use of central veins of the upper body. The incidence of venous thrombosis and the necessity to perform alternative vascular access (AVA) in intestinal transplant recipients have not been fully investigated. Methods. Records of adult patients who underwent intestinal transplantation between January 1, 2001, and December 31, 2009, were reviewed. Contrast venography was performed as pre-transplantation screening. Vascular accesses at the transplantation were categorized as I (percutaneous line via the upper body veins), II (percutaneous line via the lower body veins), and III (vascular accesses secured surgically, with interventional radiology, or using non-venous sites). Categories II and III were defined as AVA. Risk factors for central venous thrombosis and those for requiring AVA were analysed, respectively. Results. Among 173 patients, central venous obstruction or stenosis (

Original languageEnglish
Pages (from-to)776-783
Number of pages8
JournalBritish Journal of Anaesthesia
Volume108
Issue number5
DOIs
Publication statusPublished - May 2012
Externally publishedYes

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Keywords

  • Arterial infusion
  • Central venous line
  • Classification
  • Short gut syndrome
  • Venous thrombosis

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Matsusaki, T., Sakai, T., Boucek, C. D., Abu-Elmagd, K., Martin, L. M., Amesur, N., Thaete, F. L., Hilmi, I. A., Planinsic, R. M., & Aggarwal, S. (2012). Central venous thrombosis and perioperative vascular access in adult intestinal transplantation. British Journal of Anaesthesia, 108(5), 776-783. https://doi.org/10.1093/bja/aes016