Results of live donor liver transplantation in patients with hepatitic C virus infection: the HCV 3 trial experience. Academic Article uri icon

Overview

abstract

  • Chronic hepatitis C virus (HCV) is the most common disease indication for liver transplantation (LT). Outcomes are compromised by near universal recurrence of HCV. A prospective multi-center randomized study to evaluate immunosuppressive strategies in HCV+ transplant recipients provided the opportunity to assess impact of live donor (LD) LT. Two hundred and ninety-five patients undergoing LT for HCV (260 deceased donor [DD] recipients/35 LD recipients), randomized to three regimens, were followed for two yr for patient and graft survival and rate and severity of recurrent HCV. Biopsies were performed at baseline, 3, 12, and 24 months. One- and two-yr patient survival for LD recipients was 88.1% and 81.1% vs. 90.5% and 84.6% for DD recipients (p = 0.5665). One- and two-yr graft survival for LD recipients was 82.9% and 76.2% vs. 87.9% and 81.7% for DD recipients (p = 0.3921). Recurrent HCV did not account for more deaths or graft losses in the LD recipients. In this prospective study, controlled for immunosuppression, use of LD organs did not increase the rate or severity of HCV recurrence. The more elective nature of LDLT affords an opportunity to manipulate donor and recipient factors that can impact upon outcomes.

publication date

  • December 12, 2011

Research

keywords

  • Graft Rejection
  • Hepacivirus
  • Hepatitis C, Chronic
  • Liver Transplantation
  • Living Donors

Identity

Scopus Document Identifier

  • 84862249740

Digital Object Identifier (DOI)

  • 10.1111/j.1399-0012.2011.01561.x

PubMed ID

  • 22151078

Additional Document Info

volume

  • 26

issue

  • 3