ABSTRACT
Objective To investigate the correlation between indocyanine green plasma disappearance rate (ICG-PDR) and allograft function,postoperative complications after liver transplantation.Methods A prospective? study was done on 115 cases of adult liver transplantation from Jun 1st,2016 to December 1st,2016.115 patients were divided into ICG-PDR ＜ 18％/min group (group A,n =50) and ICG-PDR≥18％/min group (group B,n =65).The recovery of liver function,complications and survival rate were analyzed.Results 111 out of 115 cases recovered well and discharged,and 4 cases died at the first month postoperation.There was significant difference in the MELD score,bleeding volume during operation and Hb,PA,TB of the first week postoperation.The incidence of hepatic artery complications and pneumonia was significantly higher in group A than in group B (P＜0.05).The survival rate within 3 and 6 months was 94％ (47/50) in group A,and 98.5％ (64/65) in group B (P＞0.05).Conclusion Early postoperative ICG-PDR was closely related to graft function,and ICG-PDR was a good predictor of postoperative arterial complications.
ABSTRACT
As manifestações clínicas da síndrome do desfiladeiro torácico são predominantemente neurológicas, sendo as complicações arteriais raras, mas potencialmente graves. Entre elas, devemos citar os aneurismas com complicações embólicas e a trombose. Os autores relatam o caso de uma mulher de 37 anos com costela cervical bilateral que apresentou embolia no membro superior direito originada de um aneurisma pós-estenótico da artéria subclávia direita, além de apresentar ectasia da subclávia esquerda também por compressão.
The clinical manifestations of thoracic outlet syndrome are mainly neurological. Although arterial complications are rare, they are potentially severe. Among these are aneurysms associated with embolism and thrombosis. The authors report a case of a 37 year-old woman with bilateral cervical rib that developed embolism in the right upper limb from a poststenotic right subclavian artery aneurysm and dilatation of the left subclavian artery, both due to compression.