Human natriuretic factor in cirrhotic patients undergoing orthotopic liver transplantation.
Transpl Int
; 8(1): 51-4, 1995.
Article
em En
| MEDLINE
| ID: mdl-7888052
ABSTRACT
We measured the plasma levels of atrial natriuretic factor (ANF) during orthotopic liver transplantation (OLT) in eight adult patients with cirrhosis and ascites. The aim of this study was to determine whether significant differences in ANF concentration may be detected during the individual phases of OLT and to correlate these changes with hemodynamics. In each patient a hemodynamic assessment was achieved using a Swan-Ganz fiber optic catheter for continuous monitoring of cardiac output (CO), systemic vascular resistance index (SVRI), right filling pressure as assessed by central venous pressure (CVP), and left filling pressure by means of pulmonary arterial wedge pressure (PAWP). During reperfusion a clear-cut increase in ANF values was observed (P < 0.05). Concurrently, an increase in CVP (P < 0.05) and a decrease in SVRI were observed without any significant increase in diuresis. These data suggest that ANF might play a role in the development of the reperfusion syndrome.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transplante de Fígado
/
Fator Natriurético Atrial
/
Síndrome de Budd-Chiari
/
Cirrose Hepática
Limite:
Adult
/
Humans
Idioma:
En
Ano de publicação:
1995
Tipo de documento:
Article