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Li W, van der Doef HPJ, Wildhaber BE, Marra P, Bravi M, Pinelli D, Minetto J, Dip M, Sierre S, de Santibañes M, Ardiles V, Uno JW, Hardikar W, Bates S, Goh L, Aldrian D, Seisenbacher J, Vogel GF, Neto JS, Antunes da Fonseca E, Magalhães Costa C, Ferreira CT, Nader LS, Farina MA, Dajani KZ, Parente A, Bigam DL, Liang TB, Bai X, Zhang W, Gonsorčíková L, Froněk J, Bohuš Š, Franchi-Abella S, Gonzales E, Guérin F, Junge N, Baumann U, Richter N, Hartleif S, Sturm E, Rajakannu M, Palaniappan K, Rela M, Pawaria A, Rajakrishnan H, Surendran S, Kumar M, Agarwal S, Gupta S, Asthana S, Bandewar V, Raichurkar K, Spada M, Monti L, Alterio T, Yanagi Y, Uchida H, Komine R, Evans H, Carr-Boyd P, Duncan D, Stefanowicz M, Latka-Grot J, Kolesnik A, Broering DC, Raptis DA, Ann H Marquez K, Mali V, Aw M, Beretta M, Van der Schyff F, Quintero-Bernabeu J, Mercadal-Hally M, Larrarte K M, Andres AM, Hernandez-Oliveros F, Frauca E, Casswall T, Jorns C, Delle M, Gupte G, Sharif K, McGuirk S, Superina R, Caicedo JC, Jaramillo C, Bitterfeld L, Kastenberg Z, Shah AA, Domenick B, Acord MR, Mazariegos GV, Soltys K, DiNorcia J, Antala S, Florman SS, Buchholz BM, Herden U, Fischer L, Dierckx RAJO, Hartog H, Bokkers RPH. Incidence, management and outcomes in hepatic artery complications after paediatric liver transplantation: protocol of the retrospective, international, multicentre HEPATIC Registry. BMJ Open 2024; 14:e081933. [PMID: 38866577 PMCID: PMC11177692 DOI: 10.1136/bmjopen-2023-081933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 04/29/2024] [Indexed: 06/14/2024] Open
Abstract
INTRODUCTION Hepatic artery complications (HACs), such as a thrombosis or stenosis, are serious causes of morbidity and mortality after paediatric liver transplantation (LT). This study will investigate the incidence, current management practices and outcomes in paediatric patients with HAC after LT, including early and late complications. METHODS AND ANALYSIS The HEPatic Artery stenosis and Thrombosis after liver transplantation In Children (HEPATIC) Registry is an international, retrospective, multicentre, observational study. Any paediatric patient diagnosed with HAC and treated for HAC (at age <18 years) after paediatric LT within a 20-year time period will be included. The primary outcomes are graft and patient survivals. The secondary outcomes are technical success of the intervention, primary and secondary patency after HAC intervention, intraprocedural and postprocedural complications, description of current management practices, and incidence of HAC. ETHICS AND DISSEMINATION All participating sites will obtain local ethical approval and (waiver of) informed consent following the regulations on the conduct of observational clinical studies. The results will be disseminated through scientific presentations at conferences and through publication in peer-reviewed journals. TRIAL REGISTRATION NUMBER The HEPATIC registry is registered at the ClinicalTrials.gov website; Registry Identifier: NCT05818644.
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Affiliation(s)
- Weihao Li
- Department of Radiology, Medical Imaging Center, University Medical Centre Groningen, Groningen, The Netherlands
| | - Hubert P J van der Doef
- Division of Paediatric Gastroenterology and Hepatology, Department of Paediatrics, University Medical Centre Groningen, Groningen, The Netherlands
| | - Barbara E Wildhaber
- Swiss Pediatric Liver Centre, Division of Child and Adolescent Surgery, Geneva University Hospitals, Geneva, Switzerland
| | - Paolo Marra
- Department of Radiology, ASST Papa Giovanni XXIII, Bergamo, Italy
- School of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy
| | - Michela Bravi
- Department of Paediatric Hepatology, Gastroenterology and Transplantation, ASST Papa Giovanni XXIII, Bergamo, Italy
| | - Domenico Pinelli
- Department of Organ Failure and Transplantation, ASST Papa Giovanni XXIII, Bergamo, Italy
| | - Julia Minetto
- Division of Liver Transplant, Hospital de Pediatría Prof Dr Juan P Garrahan, Buenos Aires, Argentina
| | - Marcelo Dip
- Division of Liver Transplant, Hospital de Pediatría Prof Dr Juan P Garrahan, Buenos Aires, Argentina
| | - Sergio Sierre
- Division of Interventional Radiology, Hospital de Pediatría Prof Dr Juan P Garrahan, Buenos Aires, Argentina
| | - Martin de Santibañes
- HPB and Liver transplant unit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - Victoria Ardiles
- HPB and Liver transplant unit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - Jimmy Walker Uno
- HPB and Liver transplant unit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - Winita Hardikar
- Department of Gastroenterology, The Royal Children's Hospital Melbourne, Melbourne, Victoria, Australia
| | - Sue Bates
- Department of Gastroenterology, The Royal Children's Hospital Melbourne, Melbourne, Victoria, Australia
| | - Lynette Goh
- Department of Gastroenterology, The Royal Children's Hospital Melbourne, Melbourne, Victoria, Australia
| | - Denise Aldrian
- Department of Paediatrics I, Medical University of Innsbruck, Innsbruck, Austria
| | | | - Georg F Vogel
- Department of Paediatrics I, Medical University of Innsbruck, Innsbruck, Austria
- Institute of Cell Biology, Medical University of Innsbruck, Innsbruck, Austria
| | - Joao Seda Neto
- Hepatology and Liver Transplantation, Hospital Sírio-Libanês, Sao Paulo, Brazil
| | | | | | | | - Luiza S Nader
- Department of Paediatrics, Hospital Santo Antonio, Porto Alegre, Brazil
| | - Marco A Farina
- Department of Paediatrics, Hospital Santo Antonio, Porto Alegre, Brazil
| | - Khaled Z Dajani
- Department of Surgery, Division of Transplantation Surgery, University of Alberta Faculty of Medicine & Dentistry, Edmonton, Alberta, Canada
| | - Alessandro Parente
- Department of Surgery, Division of Transplantation Surgery, University of Alberta Faculty of Medicine & Dentistry, Edmonton, Alberta, Canada
| | - David L Bigam
- Department of Surgery, Division of Transplantation Surgery, University of Alberta Faculty of Medicine & Dentistry, Edmonton, Alberta, Canada
| | - Ting-Bo Liang
- Department of Hepatobiliary and Pancreatic Surgery, Liver Transplant Center, Zhejiang University School of Medicine First Affiliated Hospital, Hangzhou, Zhejiang, China
| | - Xueli Bai
- Department of Hepatobiliary and Pancreatic Surgery, Liver Transplant Center, Zhejiang University School of Medicine First Affiliated Hospital, Hangzhou, Zhejiang, China
| | - Wei Zhang
- Department of Hepatobiliary and Pancreatic Surgery, Liver Transplant Center, Zhejiang University School of Medicine First Affiliated Hospital, Hangzhou, Zhejiang, China
| | - Lucie Gonsorčíková
- Department of Pediatrics, First Faculty of Medicine, Thomayer University Hospital, Praha, Czech Republic
| | - Jiří Froněk
- Department of Transplant Surgery, Institute of Clinical and Experimental medicine, Praha, Czech Republic
| | - Šimon Bohuš
- Department of Pediatrics, First Faculty of Medicine, Thomayer University Hospital, Praha, Czech Republic
| | - Stéphanie Franchi-Abella
- Department of Paediatric Radiology, Paris-Saclay University, AP-HP, Hôpital Bicêtre, Le Kremlin-Bicêtre, France
| | - Emmanuel Gonzales
- Paediatric Hepatology and Paediatric Liver Transplantation Unit, Paris-Saclay University, AP-HP, Hopital Bicetre, Le Kremlin-Bicêtre, France
| | - Florent Guérin
- Paediatric Surgery and Paediatric Liver Transplantation Unit, Paris-Saclay University, AP-HP, Hôpital Bicêtre, Le Kremlin-Bicêtre, France
| | - Norman Junge
- Division for Pediatric Gastroenterology and Hepatology, Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany
| | - Ulrich Baumann
- Division for Pediatric Gastroenterology and Hepatology, Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany
| | - Nicolas Richter
- Department of General, Visceral and Transplant Surgery, Hannover Medical School, Hannover, Germany
| | - Steffen Hartleif
- Paediatric Gastroenterology and Hepatology, University Hospitals Tubingen, Tubingen, Germany
| | - Ekkehard Sturm
- Paediatric Gastroenterology and Hepatology, University Hospitals Tubingen, Tubingen, Germany
| | - Muthukumarassamy Rajakannu
- Dr Rela Institute and Medical Centre, Bharath Institute of Higher Education and Research, Chennai, Tamil Nadu, India
| | - Kumar Palaniappan
- Dr Rela Institute and Medical Centre, Bharath Institute of Higher Education and Research, Chennai, Tamil Nadu, India
| | - Mohamed Rela
- Dr Rela Institute and Medical Centre, Bharath Institute of Higher Education and Research, Chennai, Tamil Nadu, India
| | - Arti Pawaria
- Department of Pediatric Hepatology & Gastroenterology, Amrita Institute of Medical Sciences & Research Centre, New Delhi, Delhi, India
| | - Haritha Rajakrishnan
- Department of Solid organ transplantation, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India
| | - Sudhindran Surendran
- Department of Solid organ transplantation, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India
| | - Mukesh Kumar
- Centre for Liver and Biliary Sciences, Max Super Speciality Hospital Saket, New Delhi, Delhi, India
| | - Shaleen Agarwal
- Centre for Liver and Biliary Sciences, Max Super Speciality Hospital Saket, New Delhi, Delhi, India
| | - Subhash Gupta
- Centre for Liver and Biliary Sciences, Max Super Speciality Hospital Saket, New Delhi, Delhi, India
| | - Sonal Asthana
- Integrated Liver Care Department, Aster CMI Hospital, Bengaluru, Karnataka, India
| | - Vaishnavi Bandewar
- Integrated Liver Care Department, Aster CMI Hospital, Bengaluru, Karnataka, India
| | - Karthik Raichurkar
- Integrated Liver Care Department, Aster CMI Hospital, Bengaluru, Karnataka, India
| | - Marco Spada
- Division of Hepatobiliopancreatic Surgery, Liver and Kidney Transplantion, Ospedale Pediatrico Bambino Gesu, Roma, Italy
| | - Lidia Monti
- Gastrointestinal and Transplanted Liver Imaging Unit, Ospedale Pediatrico Bambino Gesù, Roma, Italy
| | - Tommaso Alterio
- Hepatology and Liver Transplant Unit, Ospedale Pediatrico Bambino Gesu, Roma, Italy
| | - Yusuke Yanagi
- Organ Transplantation Center, National Center for Child Health and Development, Setagaya-ku, Japan
| | - Hajime Uchida
- Organ Transplantation Centre, National Center for Child Health and Development Hospital, Tokyo, Japan
| | - Ryuji Komine
- Organ Transplantation Center, National Center for Child Health and Development, Setagaya-ku, Japan
| | - Helen Evans
- Department of Paediatric Gastroenterology, Starship Children's Health, Auckland, New Zealand
| | - Peter Carr-Boyd
- New Zealand Liver Transplant Unit, Auckland City Hospital, Auckland, Auckland, New Zealand
| | - David Duncan
- Department of Interventional Radiology, Auckland City Hospital, Auckland, Auckland, New Zealand
| | - Marek Stefanowicz
- Department of Pediatric Surgery and Organ Transplantation, Children's Memorial Health Institute, Warszawa, Poland
| | - Julita Latka-Grot
- Department of Pediatric Surgery and Organ Transplantation, Children's Memorial Health Institute, Warszawa, Poland
| | - Adam Kolesnik
- Department of Pediatric Surgery and Organ Transplantation, Children's Memorial Health Institute, Warszawa, Poland
| | - Dieter C Broering
- Organ Transplant Center of Excellence, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Dimitri A Raptis
- Organ Transplant Center of Excellence, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Kris Ann H Marquez
- Organ Transplant Center of Excellence, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | | | - Marion Aw
- Department of Paediatrics, National University Hospital, Singapore
| | - Marisa Beretta
- Department of Peadiatrics, Wits Donald Gordon Medical Centre, Johannesburg, South Africa
| | | | - Jesús Quintero-Bernabeu
- Pediatric Hepatology and Liver Trasplant Department, Vall d'Hebron University Hospital, Barcelona, Spain
| | - Maria Mercadal-Hally
- Pediatric Hepatology and Liver Trasplant Department, Vall d'Hebron University Hospital, Barcelona, Spain
| | - Mauricio Larrarte K
- Pediatric Hepatology and Liver Trasplant Department, Vall d'Hebron University Hospital, Barcelona, Spain
| | - Ane M Andres
- Pediatric Surgery Department, La Paz University Hospital, Madrid, Madrid, Spain
| | | | - Esteban Frauca
- Pediatric Hepatology Department, La Paz University Hospital, Madrid, Madrid, Spain
| | - Thomas Casswall
- Department Clinical Interventions and Technology CLINTEC, Division for Paediatrics, Karolinska Institute, Stockholm, Sweden
| | - Carl Jorns
- Division for Transplantation Surgery, Department Clinical Interventions and Technology CLINTEC, Karolinska Institute, Stockholm, Sweden
| | - Martin Delle
- Department Clinical Science, Intervention and Technology CLINTEC, Division for Interventional Radiology, Karolinska Institute, Stockholm, Sweden
| | - Girish Gupte
- Liver Unit (including small bowel transplantation), Birmingham Women's and Children's Hospitals NHS Foundation Trust, Birmingham, UK
| | - Khalid Sharif
- Liver Unit (including small bowel transplantation), Birmingham Women's and Children's Hospitals NHS Foundation Trust, Birmingham, UK
| | - Simon McGuirk
- Department of Radiology, Birmingham Women's and Children's Hospitals NHS Foundation Trust, Birmingham, UK
| | - Riccardo Superina
- Division of Transplant and Advanced Hepatobiliary Surgery, Ann and Robert H Lurie Children's Hospital of Chicago, Chicago, Illinois, USA
| | | | - Catalina Jaramillo
- Department of Paediatrics, Division of Paediatric Gastroenterology, Hepatology and Nutrition, University of Utah, Primary Children's Hospital, Salt Lake City, Utah, USA
| | | | - Zachary Kastenberg
- Department of Surgery, Division of Paediatric Surgery, University of Utah, Primary Children's Hospital, Salt Lake City, Utah, USA
| | - Amit A Shah
- Division of Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Bryanna Domenick
- Division of Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Michael R Acord
- Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - George V Mazariegos
- Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
| | - Kyle Soltys
- Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
| | - Joseph DiNorcia
- Recanati-Miller Transplantation Institute, Mount Sinai Hospital, Los Angeles, California, USA
| | - Swanti Antala
- Recanati-Miller Transplantation Institute, Mount Sinai Hospital, Los Angeles, California, USA
| | - Sander S Florman
- Recanati-Miller Transplantation Institute, Mount Sinai Hospital, Los Angeles, California, USA
| | - Bettina M Buchholz
- Department of Visceral Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Uta Herden
- Department of Visceral Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Lutz Fischer
- Department of Visceral Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Rudi A J O Dierckx
- Department of Nuclear Medicine and Molecular Imaging, Medical Imaging Center, University Medical Centre Groningen, Groningen, The Netherlands
| | - Hermien Hartog
- Department of Surgery, Section of Hepatobiliary Surgery & Liver Transplantation, University Medical Centre Groningen, Groningen, The Netherlands
| | - Reinoud P H Bokkers
- Department of Radiology, Medical Imaging Center, University Medical Centre Groningen, Groningen, The Netherlands
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