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
• 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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