PMID: 11926555Apr 3, 2002Paper

Use of arterial conduit as an alternative technique in arterial revascularization during orthotopic liver transplantation

Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
F ZamboniM Salizzoni

Abstract

The risk of hepatic artery thrombosis after orthotopic liver transplantation is higher in cases of poor hepatic arterial inflow, small or anomalous recipient hepatic arteries, unsafe native hepatic arteries. To assess the use of arterial conduits as alternative technique for graft revascularization. At the Liver Transplant Center of the "S. Giovanni Battista" Hospital in Torino, a review has been made of 600 consecutive orthotopic liver transplantations in 545 adult patients from 1990 to 1999. In 95 orthotopic liver transplantations (15.8%) in 88 patients, the graft was supplied by infrarenal conduit, while in 505 orthotopic liver transplantations (84.2%) in 457 patients, a direct anastomosis was used. The overall incidence of hepatic artery thrombosis in our series was 3.5% (21/600): 5.3% (5/91) for conduits and 3.2% (16/505) for standard technique (p=ns, chi2 test). The actuarial 5-year graft survival was 67.7% for conduits and 68.6% for the standard technique; p (log rank): ns. The iliac prosthesis torsion was the only complication related to the use of infrarenal iliac conduit. The arterial conduit, performed with donor iliac artery, is an effective and safe revascularization technique in patients at high risk of arterial t...Continue Reading

References

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Jun 20, 1998·Liver Transplantation and Surgery : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·P MuiesanN Heaton

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Citations

Mar 24, 2005·The New England Journal of Medicine·Arjun SrinivasanUNKNOWN Rabies in Transplant Recipients Investigation Team
Jun 3, 2009·Clinical Transplantation·Wojciech G PolakMaarten J H Slooff
Mar 21, 2009·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·J BekkerK P de Jong
May 22, 2007·Transplant International : Official Journal of the European Society for Organ Transplantation·Murat KilicMurat Zeytunlu
May 25, 2007·Transplant International : Official Journal of the European Society for Organ Transplantation·Hani H HaiderAndreas G Tzakis
Jul 31, 2013·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Taizo HibiAndreas G Tzakis
Oct 1, 2008·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Dmitriy NikitinGoran B Klintmalm
May 21, 2015·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Safi DokmakJacques Belghiti
Dec 12, 2003·World Journal of Gastroenterology : WJG·Ji-Chun ZhaoYu-Lan Pen
Mar 2, 2018·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Christian E OberkoflerHenrik Petrowsky
Jul 12, 2018·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Tim ReeseHenrik Petrowsky

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