{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T22:47:37Z","timestamp":1780786057266,"version":"3.54.1"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,5,18]],"date-time":"2018-05-18T00:00:00Z","timestamp":1526601600000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Loco\u2010regional complications of transarterial chemoembolization (<jats:styled-content style=\"fixed-case\">TACE<\/jats:styled-content>) may adversely affect technical aspects of the liver transplantation (<jats:styled-content style=\"fixed-case\">LT<\/jats:styled-content>). This study reviewed the impact of those complications on postoperative outcomes encompassing implications on graft selection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective, propensity score matching (1:1) analysis accounting for donor and recipient confounders was performed on a dataset of patients undergoing <jats:styled-content style=\"fixed-case\">LT<\/jats:styled-content> for hepatocellular carcinoma. Outcomes of patients who had <jats:styled-content style=\"fixed-case\">TACE<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">TACE<\/jats:styled-content>\u2010group) were compared with those who did not (No<jats:styled-content style=\"fixed-case\">TACE<\/jats:styled-content>\u2010group).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 57 matched pairs were analyzed. <jats:styled-content style=\"fixed-case\">TACE<\/jats:styled-content> achieved effective tumor control (Pre\u2010<jats:styled-content style=\"fixed-case\">TACE<\/jats:styled-content> vs Post\u2010<jats:styled-content style=\"fixed-case\">TACE<\/jats:styled-content>; Median: 44\u00a0mm [interquartile range: 43\u201050] vs 17\u00a0mm [0\u201036]; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.002) on imaging follow\u2010up. <jats:styled-content style=\"fixed-case\">TACE<\/jats:styled-content> group had, at the hepatectomy, higher incidence of ischemia\u2010related complications (adhesions of the necrotic tumor, cholecystitis, and\/or bile duct necrosis) (40.4% vs 10.5%; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.001). Overall major post\u2010<jats:styled-content style=\"fixed-case\">LT<\/jats:styled-content> complications rate (Dindo\u2010Clavien \u22653) were similar (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.134). Those in the <jats:styled-content style=\"fixed-case\">TACE<\/jats:styled-content> group with donors after circulatory death (<jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content>) had 4.6% 90\u2010day mortality and 54.3% major complication rate compared to 6.9% and 77.3% (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.380 and <jats:italic>P<\/jats:italic>\u00a0=\u00a0.112, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">TACE<\/jats:styled-content> was an effective bridging procedure that may complicate <jats:styled-content style=\"fixed-case\">LT<\/jats:styled-content> inducing ischemic\u2010related complications; nevertheless, it has not shown repercussions on mortality or morbidity after the procedure, even using donors after circulatory death.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.13255","type":"journal-article","created":{"date-parts":[[2018,4,11]],"date-time":"2018-04-11T03:23:52Z","timestamp":1523417032000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["The impact of transarterial chemoembolization induced complications on outcomes after liver transplantation: A propensity\u2010matched study"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7029-4153","authenticated-orcid":false,"given":"Amanda Pinter Carvalheiro da Silva","family":"Boteon","sequence":"first","affiliation":[{"name":"Liver Unit Queen Elizabeth Hospital Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuri Longatto","family":"Boteon","sequence":"additional","affiliation":[{"name":"Liver Unit Queen Elizabeth Hospital Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo F.","family":"Vinuela","sequence":"additional","affiliation":[{"name":"Liver Unit Queen Elizabeth Hospital Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Derosas","sequence":"additional","affiliation":[{"name":"Liver Unit Queen Elizabeth Hospital Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hynek","family":"Mergental","sequence":"additional","affiliation":[{"name":"Liver Unit Queen Elizabeth Hospital Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John R.","family":"Isaac","sequence":"additional","affiliation":[{"name":"Liver Unit Queen Elizabeth Hospital Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Muiesan","sequence":"additional","affiliation":[{"name":"Liver Unit Queen Elizabeth Hospital Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Homoyoon","family":"Mehzard","sequence":"additional","affiliation":[{"name":"Department of Radiology Queen Elizabeth Hospital Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuk Ting","family":"Ma","sequence":"additional","affiliation":[{"name":"The Cancer Centre Queen Elizabeth Hospital Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tahir","family":"Shah","sequence":"additional","affiliation":[{"name":"Liver Unit Queen Elizabeth Hospital Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darius F.","family":"Mirza","sequence":"additional","affiliation":[{"name":"Liver Unit Queen Elizabeth Hospital Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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