TY - JOUR
T1 - Liver retransplantation of patients with hepatitis C infection is associated with acceptable patient and graft survival
AU - Ghabril, Marwan
AU - Dickson, Rolland C.
AU - Machicao, Victor I.
AU - Aranda-Michel, Jaime
AU - Keaveny, Andrew
AU - Rosser, Barry
AU - Bonatti, Hugo
AU - Krishna, Murli
AU - Yataco, Maria
AU - Satyanarayana, Raj
AU - Harnois, Denise
AU - Hewitt, Winston
AU - Willingham, Darin D.
AU - Grewal, Hani
AU - Hughes, Christopher B.
AU - Nguyen, Justin
PY - 2007/12
Y1 - 2007/12
N2 - Infection with hepatitis C virus (HCV) is the leading cause of liver transplantation (LT), while liver retransplantation (RT) for HCV is controversial as a result of concerns over poor outcomes. We sought to compare patient and graft survival after RT in patients with and without HCV. We performed a retrospective chart review of all patients undergoing RT at our center between February 1998 and April 2004. Indications for RT, HCV status, patient, and donor characteristics, laboratory values, and hospitalization status at RT were collected. A total of 108 patients (48 HCV and 60 non-HCV) underwent RT during the study period, with mean post-RT follow-up of 1,096 days (range, 0-2,888 days). Grafts from donors aged>60 years were used less frequently in HCV patients at RT (6%) compared with LT (47%), P < 0.001. There was no difference between HCV vs. non-HCV patients in 1- and 3-year patient survival (respectively, 79% vs. 63%, and 71% vs. 63%) and graft survival (respectively, 67% vs. 66%, and 59% vs. 56%). Post-RT mortality and graft failure in HCV patients occurred within the first year in 89% of patients, and 83% were unrelated to HCV recurrence. We conclude that patients should not be excluded from consideration for retransplantation solely on the basis of a diagnosis of HCV.
AB - Infection with hepatitis C virus (HCV) is the leading cause of liver transplantation (LT), while liver retransplantation (RT) for HCV is controversial as a result of concerns over poor outcomes. We sought to compare patient and graft survival after RT in patients with and without HCV. We performed a retrospective chart review of all patients undergoing RT at our center between February 1998 and April 2004. Indications for RT, HCV status, patient, and donor characteristics, laboratory values, and hospitalization status at RT were collected. A total of 108 patients (48 HCV and 60 non-HCV) underwent RT during the study period, with mean post-RT follow-up of 1,096 days (range, 0-2,888 days). Grafts from donors aged>60 years were used less frequently in HCV patients at RT (6%) compared with LT (47%), P < 0.001. There was no difference between HCV vs. non-HCV patients in 1- and 3-year patient survival (respectively, 79% vs. 63%, and 71% vs. 63%) and graft survival (respectively, 67% vs. 66%, and 59% vs. 56%). Post-RT mortality and graft failure in HCV patients occurred within the first year in 89% of patients, and 83% were unrelated to HCV recurrence. We conclude that patients should not be excluded from consideration for retransplantation solely on the basis of a diagnosis of HCV.
UR - http://www.scopus.com/inward/record.url?scp=37648998540&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=37648998540&partnerID=8YFLogxK
U2 - 10.1002/lt.21292
DO - 10.1002/lt.21292
M3 - Article
C2 - 18044750
AN - SCOPUS:37648998540
SN - 1527-6465
VL - 13
SP - 1717
EP - 1727
JO - Liver Transplantation
JF - Liver Transplantation
IS - 12
ER -