Emuakhagbon et al identified patients undergoing liver tranplantation who are at increased risk for postoperative deep vein thrombosis. A patient at increased risk may benefit from more aggressive management. The authors are from the University of Louisville and University of California Los Angeles.

Patient selection: liver transplant recipient


Outcomes: deep vein thrombosis and pulmonary embolus


Risk factors for deep vein thrombosis:

(1) intraoperative transfusion with multiple units of fresh frozen plasma (FFP) and cryoprecipitate

(2) elevated postoperative INR on postoperative day 7

(3) complicated postoperative course (respiratory failure, renal failure, hemorrhage)



• The elevated INR on postoperative day 7 is an indicator of hepatic dysfunction although interpretation is complicated if the patient is receiving thromboprophylaxis.

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