{"doi":"10.1016/j.liver.2023.100185","title":"Vascular thrombosis after pediatric liver transplantation: Is prevention achievable?","abstract":": Vascular thromboses (VT) are life-threatening events after pediatric liver transplantation (LT). Single-center studies have identified risk factors for intra-abdominal VT, but large-scale pediatric studies are lacking. : This multicenter retrospective cohort study of isolated pediatric LT recipients assessed pre- and perioperative variables to determine VT risk factors and anticoagulation-associated bleeding complications. : Within seven postoperative days, 31/331 (9.37%) patients developed intra-abdominal VT. Open fascia occurred more commonly in patients with VT (51.61 vs 23.33%) and remained the only independent risk factor in multivariable analysis (OR = 2.84, p=0.012). Patients with VT received more blood products (83.87 vs 50.00%), had significantly higher rates of graft loss (22.58 vs 1.33%), infection (50.00 vs 20.60%), and unplanned return to the operating room (70.97 vs 16.44%) compared to those without VT. The risk of bleeding was similar (p=0.2) between patients on and off anticoagulation. : Prophylactic anticoagulation did not increase bleeding complications in this cohort. The only independent factor associated with VT was open fascia, likely a graft/recipient size mismatch surrogate, supporting the need to improve surgical techniques to prevent VT that may not be modifiable with anticoagulation.","journal":"Journal of Liver Transplantation","year":2023,"id":354333,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":7,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9629,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":674207,"name":"Elise Kang","orcid":"0000-0002-4189-6697","position":1,"is_corresponding":false},{"id":1101921,"name":"Fernando Beltramo","orcid":null,"position":2,"is_corresponding":false},{"id":1101441,"name":"Michael Nares","orcid":"0009-0003-5746-2177","position":3,"is_corresponding":false},{"id":1028458,"name":"Asumthia Jeyapalan","orcid":"0000-0001-7166-0725","position":4,"is_corresponding":false},{"id":1096713,"name":"Alicia M. Alcamo","orcid":"0000-0002-5406-5681","position":5,"is_corresponding":false},{"id":1101922,"name":"Alexandra Monde","orcid":null,"position":6,"is_corresponding":false},{"id":502442,"name":"Leslie Ridall","orcid":null,"position":7,"is_corresponding":false},{"id":1101442,"name":"Sameer Kamath","orcid":"0000-0001-6280-7473","position":8,"is_corresponding":false},{"id":1028466,"name":"Kristina Betters","orcid":"0000-0002-3879-6660","position":9,"is_corresponding":false},{"id":333680,"name":"Courtney M. Rowan","orcid":"0000-0003-1393-6476","position":10,"is_corresponding":false},{"id":1101443,"name":"Richard S. Mangus","orcid":"0000-0003-4300-2594","position":11,"is_corresponding":false},{"id":1101444,"name":"Shubhi Kaushik","orcid":"0000-0003-1505-5322","position":12,"is_corresponding":false},{"id":746065,"name":"Matt S. Zinter","orcid":"0000-0003-3351-3278","position":13,"is_corresponding":false},{"id":1101445,"name":"Joseph Resch","orcid":"0000-0002-8204-3981","position":14,"is_corresponding":false},{"id":1101446,"name":"Danielle Maue","orcid":"0000-0001-9875-0691","position":15,"is_corresponding":false},{"id":239748,"name":"Mercedes Martínez","orcid":"0000-0001-6128-0155","position":0,"is_corresponding":true}],"reference_count":22,"raw_metadata":null,"created_at":"2026-07-19T01:13:06.959762Z","pmid":"38037556","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}