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Pulmonary contraindications, indications and MELD exceptions for liver transplantation: a contemporary view and look forward.

Abstract：

:Pulmonary concerns in liver transplant candidates have intraoperative and outcome implications. Evolving MELD exception policies address transplant priority for problems such as hepatopulmonary syndrome, portopulmonary hypertension, and hemorrhagic hereditary telangiectasia. Other pulmonary issues such as refractory hepatic hydrothorax, advanced chronic obstructive lung disease (including alpha-1 antitrypsin deficiency) and indeterminate pulmonary nodules may affect liver transplant consideration. Herein, we discuss current pulmonary-related contraindications, indications and MELD exception policies for liver transplantation, suggesting future considerations.

journal_name

J Hepatol

journal_title

Journal of hepatology

authors

Krowka MJ,Wiesner RH,Heimbach JK

doi

10.1016/j.jhep.2013.03.026

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

367-74

issue

2

eissn

0168-8278

issn

1600-0641

pii

S0168-8278(13)00205-5

journal_volume

59

pub_type

杂志文章,评审

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