Complications related to invasive hemodynamic monitors during adult liver transplantation

Shu Y. Lu, Takashi Matsusaki, Ezeldeen Abuelkasem, Mark L. Sturdevant, Abhinav Humar, Ibtesam A. Hilmi, Raymond M. Planinsic, Tetsuro Sakai

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

The rate of complications directly related to invasive monitors during liver transplantation (LT) was reviewed in 1206 consecutive adult LTs performed over 8.6 yr (1/1/2004-7/31/2012). The designated anesthesiologists placed intra-operative monitors, including two arterial catheters (via the radial and the right femoral arteries), central venous catheters (a 9 Fr. catheter and an 18 Fr. veno-venous bypass [VVB] return cannula in an internal jugular vein), a pulmonary artery catheter, and a transesophageal echocardiography (TEE) probe. A 17 Fr. VVB drainage cannula was placed via the left femoral vein. No Clavien-Dindo Grade V (death) or Grade IV (organ dysfunction) complication was identified. Nine Grade III complications (requiring surgical intervention) and 15 Grade II complications (conservative treatment) were noted. Seven (0.58% in 1206 cases) were related to a femoral arterial line with Grade III of four; seven (0.58%) were due to VVB return cannula in the femoral vein with Grade III of one; four (0.33%) were related to central venous catheters with Grade III of two; four (0.33%) were due to a TEE probe with Grade III of two; and two minor complications (0.17%) that were related to a radial arterial line. No complication was observed with a pulmonary arterial catheter. Current invasive monitors placed during LT have an acceptable risk.

Original languageEnglish
Pages (from-to)823-828
Number of pages6
JournalClinical Transplantation
Volume27
Issue number6
DOIs
Publication statusPublished - Nov 1 2013

Keywords

  • Arterial line
  • Central venous line
  • Clavien-Dindo classification
  • Intra-operative hemodynamic monitors
  • Liver transplantation
  • Postoperative complications
  • Transesophageal echocardiography
  • Veno-venous bypass

ASJC Scopus subject areas

  • Transplantation

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  • Cite this

    Lu, S. Y., Matsusaki, T., Abuelkasem, E., Sturdevant, M. L., Humar, A., Hilmi, I. A., Planinsic, R. M., & Sakai, T. (2013). Complications related to invasive hemodynamic monitors during adult liver transplantation. Clinical Transplantation, 27(6), 823-828. https://doi.org/10.1111/ctr.12222