Value of indocyanine green plasma disappearance rate in assessing allograft function and predicting postoperative complications after liver transplantation / 中华器官移植杂志

ABSTRACT

Objective To investigate the correlation between indocyanine green plasma disappearance rate (ICG-PDR) and allograft function,postoperative complications after liver transplantation.Methods A prospective? study was done on 115 cases of adult liver transplantation from Jun 1st,2016 to December 1st,2016.115 patients were divided into ICG-PDR ＜ 18％/min group (group A,n =50) and ICG-PDR≥18％/min group (group B,n =65).The recovery of liver function,complications and survival rate were analyzed.Results 111 out of 115 cases recovered well and discharged,and 4 cases died at the first month postoperation.There was significant difference in the MELD score,bleeding volume during operation and Hb,PA,TB of the first week postoperation.The incidence of hepatic artery complications and pneumonia was significantly higher in group A than in group B (P＜0.05).The survival rate within 3 and 6 months was 94％ (47/50) in group A,and 98.5％ (64/65) in group B (P＞0.05).Conclusion Early postoperative ICG-PDR was closely related to graft function,and ICG-PDR was a good predictor of postoperative arterial complications.