{"doi":"10.6002/ect.2019.0262","title":"Is It Justified to Use Liver Grafts From Living Donors for Retransplant? A Single-Center Experience","abstract":null,"journal":"Experimental and Clinical Transplantation","year":2020,"id":631097,"datarank":0.40620753016533157,"base_score":2.70805020110221,"endowment":2.70805020110221,"self_citation_contribution":0.40620753016533157,"citation_network_contribution":0.0,"self_endowment_contribution":0.40620753016533157,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":14,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1635334,"name":"Yahia Saleh","orcid":null,"position":1,"is_corresponding":false},{"id":767070,"name":"Ahmed Zidan","orcid":"0000-0002-0067-4676","position":2,"is_corresponding":false},{"id":1102452,"name":"Mark Sturdevant","orcid":"0000-0002-6189-1447","position":3,"is_corresponding":false},{"id":1635341,"name":"Saleh Alabbad","orcid":null,"position":4,"is_corresponding":false},{"id":1635345,"name":"Yasser Elsheikh","orcid":null,"position":5,"is_corresponding":false},{"id":1635347,"name":"Waleed Al-hamoudi","orcid":null,"position":6,"is_corresponding":false},{"id":1635349,"name":"Ali Albenmousa","orcid":null,"position":7,"is_corresponding":false},{"id":1635351,"name":"Roberto Ivan Troisi","orcid":null,"position":8,"is_corresponding":false},{"id":1635353,"name":"Dieter Broering","orcid":null,"position":9,"is_corresponding":false},{"id":1635331,"name":"Hazem Zakaria","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Is It Justified to Use Liver Grafts From Living Donors for Retransplant? A Single-Center Experience","abstract":"OBJECTIVES: Liver retransplant is considered the only hope for patients with irreversible graft failure after primary transplant. In most Western centers, retransplantis done mainly from deceased donors; so far, only few published studies have reported on outcomes of liver retransplant with living donors. In this study, our aim was to analyze the outcomes of living-donor liver retransplant. MATERIALS AND METHODS: Patients who underwent liver retransplant between February 2011 and February 2019 were included in the study. Preoperative, operative, and postoperative data were analyzed. Results from 2 patient groups were compared: liver retransplant with living donors and liver retransplant with deceased donors. RESULTS: Thirty-two patients underwent liver retransplant (21 adult and 11 pediatric patients). The most common indications for liver retransplant were hepatic artery thrombosis (28.5%) and primary graft nonfunction (23.8%) in adults and hepatic artery thrombosis (45.5%) and chronic rejection (36.4%) in pediatric patients. Seventeen retransplant patients (53.1%) required early retransplant (within 1 mo), mainly due to hepatic artery thrombosis (52.9%) and primary graft nonfunction (35.3%). Late retransplant was mainly due to chronic rejection (40%) and recurrence of primary disease (26.7%). Seventeen patients (53.1%) underwent living-donor retransplant, and 5 donors underwent robotic right hepatectomy. Graft and patient survival rates at 1, 3, and 5 years were 81.3% for living-donor and 51.4% for deceased-donor liver retransplant recipients (P = .08). On multivariate analyses, we observed significant differences between both groups in pretransplant Model for End-Stage Liver Disease and Pediatric End-Stage Liver Disease scores (P = .05), preoperative international normalized ratio (P = .012), and cold ischemia time (P = .046). CONCLUSIONS: The use of living donors for liver retransplant, despite its technical demand, was shown to be a safe and feasible option, especially when there is scarcity of deceased donors.","is_dataset_classified":null,"base_score":2.70805020110221,"endowment":2.70805020110221,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"31875463","pmcid":null,"openalex_id":"https://openalex.org/W2998699411","authors":[],"funders":[],"total_grants":0,"fwci":0.218,"citation_percentile":0.61576998,"influential_citations":0,"citation_trend":[{"year":2021,"count":1},{"year":2023,"count":7},{"year":2024,"count":3},{"year":2025,"count":2},{"year":2026,"count":1}],"oa_status":"closed","license":null,"oa_locations":[{"url":"https://doi.org/10.6002/ect.2019.0262","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/31875463","host_type":"repository"}],"fields_of_study":["Organ Transplantation Techniques and Outcomes","Liver Disease and Transplantation","Liver Diseases and Immunity"],"mesh_terms":["Adolescent","Adult","Aged","Child","Child, Preschool","Female","Humans","Infant","Male","Middle Aged","Postoperative Complications","Reoperation","Retrospective Studies","Risk Factors","Time Factors","Liver Transplantation","Treatment Outcome","Risk Assessment","Living Donors","Young Adult"],"keywords":["Medicine","Single Center","Center (category theory)","Surgery"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-05T22:49:02.531354Z","pmid":null,"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":[]}