The anterior route for arterial graft conduits in liver transplantation

Tzakis, Andreas G.; Todo, Satoru; Starzl, Thomas E.

doi:10.1007/bf02459332

Cited by 10 publications

(8 citation statements)

References 4 publications

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“…Arterial revascularization of the liver allograft was achieved using standard techniques. 19 Patient background information, postoperative complication profiles, and patient and graft survival rates were compared among the 3 groups.…”

Section: Methodsmentioning

confidence: 99%

When and Why Portal Vein Thrombosis Matters in Liver Transplantation

et al. 2014

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Section: Methodsmentioning

confidence: 99%

When and Why Portal Vein Thrombosis Matters in Liver Transplantation

et al. 2014

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“…Placement of an infrarenal arterial conduit for arterial revascularization is an important technique for arterial reconstruction during liver transplantation (1). When such conduits are placed, the liver is revascularized by anastomosing donor iliac artery to the infrarenal abdominal aorta (1). The advantages of these conduits are well recognized (1–4).…”

Section: Discussionmentioning

confidence: 99%

“…When such conduits are placed, the liver is revascularized by anastomosing donor iliac artery to the infrarenal abdominal aorta (1). The advantages of these conduits are well recognized (1–4). Indications for their placement include poor hepatic inflow, small or anomalous recipient hepatic arteries, friable or attenuated native hepatic arteries (as may be present during retransplantation), and small paediatric recipients (2, 3).…”

Section: Discussionmentioning

confidence: 99%

“…Infrarenal arterial conduits that use donor iliac arteries were developed to overcome the arterial inflow problems of liver transplantation (1). The conduits provided an effective and reliable method of revascularization for patients at high risk of arterial inflow (2–4).…”

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confidence: 99%

“…The incidence of hepatic artery thrombosis associated with such conduits is similar to that associated with standard arterial anastomosis (2–4). Although the benefits of these conduits have been well documented (1–4), complications have been reported to be associated with their placement; such problems include pancreatitis, chylous ascites, and pseudoanurysm (2, 5, 6). In addition, one case of internal hernia around the conduit has been reported (2).…”

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confidence: 99%

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Internal hernia of the small bowel around infrarenal arterial conduits after liver transplantation

Nishida

Pinna

Nery

et al. 2002

Clinical Transplantation

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Internal hernia of the small bowel around infrarenal arterial conduits after liver Internal hernia of the small bowel is an uncommon but fatal complication of liver transplantation. The placement of infrarenal arterial conduits for arterial revascularization is an important technique for arterial reconstruction after liver transplantation. We report three cases of internal hernia with volvulus of the small bowel caused by the use of infrarenal arterial conduits. We reviewed the records of 1066 consecutive patients who underwent orthotopic liver transplantation between June 1994 and April 2000 at the University of Miami. In 271 of these patients, grafts were revascularized by anastomosing the donor iliac artery to the infrarenal aorta (an infrarenal arterial conduit). Two patients died after the surgery. One patient died of multiple organ failure because of sepsis 1 month after the surgery that involved reduction of the internal hernia and biliary reconstruction. Another patient died of multiple organ failure because of sepsis 8 days after the surgery that involved reduction of the internal hernia and adhesiolysis. One patient survived after the surgery that involved thrombectomy of the arterial graft and reduction of the internal hernia. Although there was ischemic damage to the liver after the surgery, the patient recovered. However, he died of liver failure because of recurrent infection with the hepatitis C virus 18 months after the surgery. Transplant surgeons should be aware that this complication causes not only bowel obstruction but also hepatic arterial thrombosis and ischemic liver damage. In order to prevent this complication, the arterial conduit should be retroperitonealized at the time of transplantation.

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Current Results and Evolving Indications for Liver Transplantation in Children

Kelly

1998

J. pediatr. gastroenterol. nutr.

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The anterior route for arterial graft conduits in liver transplantation

Cited by 10 publications

References 4 publications

When and Why Portal Vein Thrombosis Matters in Liver Transplantation

When and Why Portal Vein Thrombosis Matters in Liver Transplantation

Internal hernia of the small bowel around infrarenal arterial conduits after liver transplantation

Current Results and Evolving Indications for Liver Transplantation in Children

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