Best Blood Sample Draw Site During Liver Transplantation

• Published in: Transplantation proceedings Vol. 41; no. 3; pp. 991 - 993
• Main Authors: Duran, J. Arranz, González, A. Arteaga, García, D. Domínguez, Falcón, R. Calvo, Pereda, P. Sanz, Navarro, J, Alvárez, S. Méndez, Cobaleda, I. García, Jaime, A. Aguirre, González, I. Arteaga, Bosque, A. Varona, Gómez, M. Barrera, Benítez de Lugo, A. Soriano
• Format: Journal Article Conference Proceeding
• Language: English
• Published: Amsterdam Elsevier Inc 01.04.2009; Elsevier
• Subjects: Biological and medical sciences; Blood Chemical Analysis - methods; Blood Specimen Collection - methods; Cytokines - blood; Female; Fundamental and applied biological sciences. Psychology; Fundamental immunology; Humans; Inflammation - blood; Interleukin-1beta - blood; Interleukin-2 - blood; Interleukin-6 - blood; Liver Transplantation; Liver, biliary tract, pancreas, portal circulation, spleen; Male; Medical sciences; Middle Aged; Monitoring, Intraoperative; Portal Vein; Pulmonary Artery; Radial Artery; Reperfusion; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Tissue, organ and graft immunology; Tumor Necrosis Factor-alpha - blood; Medicine; Site; Treatment; Digestive system; Surgery; Sample; Liver; Graft; Homotransplantation; Blood; Liver transplantation
• ISSN: 0041-1345; 1873-2623
• DOI: 10.1016/j.transproceed.2009.02.034

Abstract Background The present study sought to identify whether there were higher inflammatory cytokine levels in blood samples drawn from the pulmonary artery, radial artery, portal vein, or reperfused graft during each transplantation phase to determine the best site. Methods We examined 39 consecutive patients undergoing liver transplantation for their blood cytokine levels at various sites. Comparison of levels permitted us to select the best blood sample draw site, considering the best site to be the one showing the highest cytokine levels. Results During hepatectomy and neohepatic phases, the best site was the radial artery; during the anhepatic phase, the portal vein; and during reperfusion, the reperfused graft. Conclusions The radial artery constituted, an optimal sample draw site, considering the best one to show the highest cytokine levels.