Cryopreserved arterial grafts as a conduit in outflow reconstruction in living donor liver transplantation

Journal of Hepato-biliary-pancreatic Sciences
Mahmoud Abdelwahab AliChao-Long Chen

Abstract

Few reports have addressed the use of cryopreserved arterial grafts (CAG) for anterior section drainage in right lobe living donor liver transplantation (RL LDLT), and the impact of atherosclerosis on patency rate (PR) is not well studied. Also, those reports have limited case numbers. The aim of the present study is to report the largest experience with CAG in outflow reconstruction in RL LDLT and the impact of atherosclerosis on its patency. During 2010 and 2011, 62 of 243 patients who underwent LDLT received outflow reconstruction with CAG for RL grafts. Atherosclerosis in CAG was classified into early, intermediate and advanced lesions according to the classification adopted by the American Heart Association: group 1 with grafts having no atherosclerosis or early lesions; and group 2 with grafts having intermediate and advanced lesions. Patency rates of CAG correlated with atherosclerotic change of CAG were retrospectively analyzed. The study group comprised 65 CAGs with 1, 3 and 6 months PR of 86.2%, 84.6% and 75.2% respectively. Histopathological examination was successful in 53 CAGs. The 1, 3 and 6 months PR of group with no/early atherosclerosis were 86%, 83.7% and 76.7%, respectively, while for groups with intermediate...Continue Reading

References

Jul 26, 2000·Transplantation·C L ChenH K Cheung
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Jul 23, 2002·Transplantation·Sung Gyu LeePyung Chul Min
May 26, 2005·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Shin HwangTae-Yong Ha
Jan 30, 2007·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Shin HwangJe-Ho Ryu
Sep 1, 2007·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Hideya KameiTetsuya Kiuchi
Mar 13, 2012·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Chao-Long ChenChun-Yi Liu
Apr 19, 2012·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Shin HwangSung-Gyu Lee
May 1, 2012·Annals of Vascular Surgery·Maria Esther Rendal-VázquezCandido Andión Núñez
Jan 3, 2014·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Chih-Chi WangChao-Long Chen

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