Table 2.
Variable | Median (IQR)** |
---|---|
Pretreatment hemodynamics at time of MELD exception | |
PVR, Wood units | 5.6 (4.6–5.6) |
mPAP, mmHg | 47 (41–55) |
PCWP, mmHg | 7 (5–15); (n=23) |
TPG, mmHg | 32 (26–36); (n=28) |
Posttreatment values | |
PVR, Wood units; n=93 | 2.4 (1.7–3.2); (n=93) |
mPAP, mmHg; n=97 | 30 (26–34); (n=97) |
Response to treatment | |
Posttreatment decrease | −3.2 (−1.9, −4.4); (n=93) |
in PVR, Wood units | |
Posttreatment decrease | −17 (−11, −24); (n=97) |
in mPAP, mmHg | |
Meet posttreatment OPTN/UNOS guidelines † | |
Proportion with PVR | 89 (95.7) |
<5 Wood units, n (%) | |
Proportion with mPAP | 76 (78.4) |
< 35 mmHg, n (%) |
IQR, interquartile range; MELD, Model for End-Stage Liver Disease; OPTN, Organ Procurement and Transplantation Network; POPH, portopulmonary hypertension; PVR, pulmonary vascular resistance; mPAP, mean pulmonary arterial pressure; PCWP, pulmonary capillary wedge pressure; TPG, trans-pulmonary gradient; UNOS, United Network for Organ Sharing.
Unless otherwise noted.
Reference (9).
Hemodynamic criteria consistent with POPH include an mPAP >25mmHg and PVR>3 Wood units prior to initiation of vasodilator therapy.