Graft Inflow Modulation for Portal Hyper-perfusion in Live Donor Liver Transplantation
NCT04252794 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 75
Last updated 2024-04-10
Summary
In this study, the investigators aim to prove that performing graft inflow modulation (GIM) in liver with portal hyper-perfusion is beneficial for early graft function postoperatively. Grafts at risk for portal hyper-perfusion will be identified by doing an intraoperative Doppler after reperfusion. In group A, the investigators will take 21 liver transplant recipients after reperfusion, randomly allocated, who will undergo intraoperative graft inflow modulation by splenic artery ligation. In group B, the investigators will be analyzing another randomly allocated 21 patients, who will not undergo any graft inflow modulation. The investigators will be analyzing trend of LFT's (liver function tests) after surgery, time for normalization of bilirubin, INR (international normalised ratio) and decrease in ascites, morbidity, mortality, ICU (intensive care unit) and total hospital stay.
Conditions
- Cirrhosis, Liver
Interventions
- PROCEDURE
-
Splenic artery ligation
Splenic artery will be ligated just after takeoff from coeliac trunk at the level of body of pancreas
- OTHER
-
No intervention
Splenic artery is not ligated despite the presence of portal hyperperfusion
Sponsors & Collaborators
-
Institute of Liver and Biliary Sciences, India
lead OTHER
Principal Investigators
-
Gattu Tharun, MS · Senior resident, Department of HPB surgery, ILBS, India
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-08-08
- Primary Completion
- 2023-07-31
- Completion
- 2023-07-31
Countries
- India
Study Locations
More Related Trials
-
Early TIPS in Patients With Liver Cirrhosis and Ascites
NCT06576934 ·Status: RECRUITING ·Phase: NA
-
Hepatocyte Transplantation as a Life Support Bridge
NCT00282542 ·Status: WITHDRAWN ·Phase: NA
-
Application of in Vivo Splitting Technique in Adult Liver Transplantation
NCT06925828 ·Status: ACTIVE_NOT_RECRUITING
-
Autologous Mesenchymal Stem Cell Transplantation in Cirrhosis Patients With Refractory Ascites
NCT01854125 ·Status: UNKNOWN ·Phase: PHASE3
-
Anticoagulation for Advanced Cirrhotic Patients After TIPS
NCT03005444 ·Status: UNKNOWN ·Phase: NA
-
The Impact of Transjugular Intrahepatic Portosystemic Shunt on Recompensation in Patients With Decompensated Liver Cirrhosis
NCT07172035 ·Status: RECRUITING
-
Efficacy and Safety of Early TIPS (Transjugular Intrahepatic Portosystemic Shunts) in the Management of Cirrhosis With Recurrent Ascites.
NCT04013074 ·Status: UNKNOWN ·Phase: NA
-
Effect of Transjugular Intrahepatic Portosystemic Shunt on Gut Microbiota in Cirrhotic Patients
NCT02427906 ·Status: UNKNOWN
-
Liver Transplantation in Patients With CirrHosis and Severe Acute-on-Chronic Liver Failure: iNdications and outComEs
NCT04613921 ·Status: RECRUITING
-
Bone Mesenchymal Stem Cell (BMSC) Transplantation in Liver Cirrhosis Via Portal Vein
NCT00993941 ·Status: UNKNOWN ·Phase: PHASE2
-
The Effect of Remote Ischemic Preconditioning in Living Donor Hepatectomy
NCT03386435 ·Status: COMPLETED ·Phase: NA
-
The Effects Of Remote Organ Ischemic Preconditioning On Systemic Inflammatory And Glycocalyx Integrity Parameters
NCT04216407 ·Status: COMPLETED ·Phase: NA
-
TIPS for PH Patients: an Observational, Cohort Study
NCT06221982 ·Status: RECRUITING
-
Dual Hypothermic Oxygenated Perfusion of DCD Liver Grafts in Preventing Biliary Complications After Transplantation
NCT02584283 ·Status: COMPLETED ·Phase: PHASE3
-
Efficacy and Prognosis of Auxiliary Liver Transplantation
NCT07275008 ·Status: NOT_YET_RECRUITING
-
Mechanism of TIPS to Improve Sarcopenia
NCT06794853 ·Status: RECRUITING
-
Percutaneous Transhepatic Intrahepatic Portosystemic Shunt for Treatment of Portal Vein Occlusion With Symptomatic Portal Hypertension After Splenectomy
NCT02505152 ·Status: UNKNOWN ·Phase: NA
-
Portal Blood Flushes in the Peri-Reperfusion Stage of Liver Transplantation
NCT03563404 ·Status: COMPLETED
-
TIPS With 8- OR 10-mm Covered Stent for Preventing Variceal Rebleeding
NCT01410591 ·Status: COMPLETED ·Phase: NA
-
Splenic Artery Ligation and Portocaval Shunt in Small-for-size Syndrome
NCT05459883 ·Status: COMPLETED
-
Indirect Calorimeter Based Study in Patients With Liver Cirrhosis
NCT03871894 ·Status: COMPLETED ·Phase: NA
-
SALT for Patients With Hepatic Cirrhosis
NCT06153914 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
The Effect of Laparoscopic Splenectomy and Azygoportal Disconnection on Liver Reserve Function for Cirrhosis Patients
NCT05325437 ·Status: RECRUITING ·Phase: NA
-
Influence of Shunt Occlusion on Organ Functions in Hyperammonemic Patients With Cirrhosis Having Porto-systemic Shunt.
NCT03293459 ·Status: COMPLETED ·Phase: NA
-
Improve the Strategies of Endoscopic and Interventional Treatment of Gastroesophageal Hemorrhage in Portal Hypertension
NCT06970509 ·Status: RECRUITING