Table 3.
Etiology, treatments, and outcomes of reported cases of PRCA during liver transplantation.
| Refs. | Age/gender | Diagnosis | Co-existing diseases | Donor condition | ECD liver graft | Suspected cause of PRCA | Rise in K/hyperkalemia | Treatments | Outcome |
|---|---|---|---|---|---|---|---|---|---|
| Shi et al. [4] | 52/NA | Cirrhosis | NA | Deceased | NA | PE | Yes/No | CPR (undescribed) | Survived |
| 49/NA | HCC | NA | Deceased | NA | NA | Yes/No | CPR (undescribed) | Survived | |
| 45/NA | Hepatitis B cirrhosis | NA | Deceased | NA | NA | No/No | CPR (undescribed) | Death in ICU | |
| 51/NA | HCC, cirrhosis | NA | Deceased | NA | Hyperkalemia | Yes/Yes | CPR (undescribed) | Death in OR | |
| 49/NA | HCC | NA | Deceased | NA | Hyperkalemia | Yes/Yes | CPR (undescribed) | Death in OR | |
| Aufhauser et al. [1] | NA/NA | NA/NA | 3/16 DM, 5/16 PPHTN, 7/16 CRRT | Deceased, 2/16 DCD and 1/16 required ECMO | 3/16 | 14/16 PRS and 2/16 PE | NA/4/16 | 2/16 ECCM+ ED 14/16 TDOCM (7/14 CPB) |
Death in OR (3/16) Death in ICU (3/16) |
| Ulukaya et al. [7] | 66/M | Alcoholic cirrhosis | ST-T changes | Deceased, mild steatosis | Yes | PRS (hyperkalemia) | NA/NA | TDOCM | Survived |
| Vannucci et al. [8] | 74/F | Primary biliary cirrhosis | Hypothyroidism | Deceased | NA | Hyperkalemia | Yes/Yes | ECCM, TDCM, ED | Death in ICU |
| Tejani et al. [30] | 61/M | HCC, hepatitis B cirrhosis | No | Deceased | NA | PRS | Yes/No | ECCM, TDOCM, ID, ECMO | Survived |
| Lee et al. [3] | 53/F | Hepatitis B cirrhosis | DM, HRS | Deceased | NA | PRS (hyperkalemia) | Yes/Yes | CPR (undescribed) | Survived |
| 38/M | Hepatitis B cirrhosis | No | Deceased | NA | PRS | NA/NA | CPR (undescribed) | Death in ICU | |
| 32/F | HCC, hepatitis B cirrhosis | HE | Deceased | NA | PRS (hyperkalemia) | Yes/Yes | CPR (undescribed) | Survived | |
| 47/M | HCC, hepatitis B cirrhosis | No | Deceased, mild steatosis | Yes | PRS (hyperkalemia) | Yes/Yes | CPR (undescribed) | Survived | |
| 48/M | Alcoholic, hepatitis B cirrhosis | HE, HRS | Deceased, mild steatosis | Yes | PRS | NA/NA | CPR (undescribed) | Death in ICU | |
| Schnüriger et al. [5] | 44/M | Hepatitis C cirrhosis | NA | NA | NA | Hyperkalemia | Yes/Yes | TDOCM, ECMO | Survived |
| 63/M | Alpha-1 antitrypsin deficiency | NA | NA | NA | Hyperkalemia | Yes/Yes | TDOCM, ED or ID | Death in OR | |
| 67/M | Nonalcoholic steatohepatitis | NA | NA | NA | Hyperkalemia | Yes/Yes | TDOCM, ED or ID | Death in OR | |
| 64/F | Hepatic echinococcosis | NA | NA | NA | Hyperkalemia | Yes/Yes | TDOCM | Death in OR | |
| Andjelić et al. [10] | 54/M | Hepatitis B cirrhosis | No | Deceased | NA | Anaphylaxis | NA/NA | ECCM, ED | NA |
| Wang et al. [32] | 54/M | Hepatitis B cirrhosis | No | Living, right lobe | NA | VF, MI | NA/NA | ECCM, ED, TDOCM, ID, IABP | Death in ICU |
| Kim et al. [9] | 61/M | HCC, hepatitis C cirrhosis | No | Deceased, 2 h of hypoxemia | Yes | Intracardiac thrombus | Yes/No | TDCM, ED | Survived |
| Shah et al. [29] | 54/M | Cirrhosis | No | Deceased, required ECMO | Yes | PRS (hyperkalemia) | Yes/Yes | ECCM, TDOCM, ED, CPB | Survived |
CPB – cardiopulmonary bypass; CPR – cardiopulmonary resuscitation; CRRT – continuous renal replacement therapy; DM – diabetes mellitus; ECCM – external chest cardiac compression; ECD – expanded criteria donor; ECMO – extracorporeal membrane oxygenation; ED – external defibrillation; HCC – hepatocellular carcinoma; HE – hepatoencephalopathy; HRS – hepatorenal syndrome; IABP – intra-aortic balloon pump; ICU – Intensive Care Unit; ID – internal defibrillation; K – serum potassium concentration; MI – myocardial infarction; NA – data not available; OR – operating room; PE – pulmonary embolism; PPHT – portopulmonary hypertension; PRCA – postreperfusion cardiac arrest; PRS – postreperfusion syndrome; TDCM – transdiaphragmatic cardiac compression; TDOCM – transdiaphragmatic open cardiac massage; VF – ventricular fibrillation.