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418A AASLD ABSTRACTS HEPATOLOGY, October, 2015 Univariate analysis compared baseline factors.Baseline factors independently associated with HD after TACE were identified with Cox regression. Results:51 patients(28%)experienced an HD event within 90 days of TACE.Median time to decompensation event after first TACE was 52 days.On univariate analysis, alkaline phosphatase(ALP), total bilirubin(TB), albumin, INR, MELD, being within Milan or UCSF criteria, history of HD event within 1 year of TACE significantly differed between decompensated and compensated groups(TABLE).Cox regression model identified a decompensation event within 1 year prior to TACE(HR 2.19,p=0.02), ALP(HR 1.003,p=0.007)and being outside UCSF criteria(HR 0.49,p=0.02)as independently associated with an HD event after TACE.TB, albumin, INR and MELD were not. Conclusion:For patients with cirrhosis being considered for TACE, absence of decompensating event within 1 year of TACE, HCC within UCSF criteria and low ALP are associated with low risk of TACE-related HD. Univariate Analysis Disclosures: The following authors have nothing to disclose: Dempsey Hughes, Fredric D. Gordon, Keith E. Stuart, FW Nugent, Sebastian Flake, Mary Ann Simpson, Amir A. Qamar between pathological and radiological findings regarding the number of nodules was found in 103/184(56%): 78 were underestimated and 25 overestimated by radiology. 10/40(25%) patients who were within Milan criteria, resulted outside according to histology due to discrepancy in number of nodules. Considering the diameter of the biggest nodule on explant, discordance was observed in 158/181(87%): 93 were underestimated and 65 overestimated. 20 of 40(50%) within Milan criteria on imaging, exceeded these due to discrepancy in biggest nodule diameter. HCC recurrence occurred in 29/184(16%) patients in a median of 37m (4-157) post-LT. In Cox regression, pre-LT factors associated with HCC recurrence were aFP>100 IU/ml (p3cm (p3cm but different aFP levels (22% in aFP100, p=0.003). The same pre-LT factors were also significantly associated with HCC-related mortality post-LT. Conclusion: In HCC transplanted patients there was a marked discrepancy between radiological findings and pathological description of the explant. The best predictors of HCC recurrence were pre-LT aFP and diameter of the biggest nodule. Combined together could allow us to include in the current transplant criteria patients with biggest nodule diameter>3cm if aFP
HEPATOLOGY, VOLUME 62, NUMBER 1 (SUPPL) AASLD ABSTRACTS 419A on explant (>3 tumors, largest tumor >5cm, vascular invasion, metastases, or poor differentiation). NASH patients were less likely to undergo locoregional therapy (LRT) pre-LT (86 vs 92%; p
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1000A AASLD ABSTRACTS HEPATOLOGY, O
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1312A AUTHOR INDEX HEPATOLOGY, Octo
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1366A CATEGORY INDEX HEPATOLOGY, Oc
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