Case ReportModulation of graft vascular inflow guided by flowmetry and manometry in liver transplantation
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Cited by (29)
Management of Large, Spontaneous Portosystemic Shunts in Liver Transplantation: Case Report and Review of Literature
2020, Transplantation ProceedingsCitation Excerpt :In cadaveric liver transplants with a whole liver graft, it is generally accepted that a portal vein flow over 1000 mL/min or 100 to 130/mL/100 g GW is sufficient to maintain appropriate organ perfusion [12] or between 180 mL/min/100 g GW [13] and 250 mL/minute/100 g GW [14] when managing partial grafts. Previous experience on portal flow modulation in split or living donor shows both the risk of an excessive portal vein flow [15,16] as an insufficient portal vein flow [16,17]. Systematic ligation of large spontaneous portosystemic shunts will increase significantly the portal vein flow, but requires an extensive dissection with the additional risk of bleeding due to portal hypertension and has been associated with an increased risk of inferior cava vein thrombosis [18].
Partial portal vein arterialization using right gastroepiploic artery: A novel solution for portal hypoperfusion
2018, Hepatobiliary and Pancreatic Diseases InternationalGraft inflow modulation in adult-to-adult living donor liver transplantation: A systematic review
2017, Transplantation ReviewsCitation Excerpt :Of these, 344 papers were excluded for the following reasons: 342 not concerning inflow modulation for LDLT, 1 temporary shunt procedure and 1 article reporting outcomes of deceased donor grafts. Finally, 32 articles were selected for full-text review, and of these, 20 more were excluded: 2 did not report outcomes of patients undergoing inflow modulation [46,48], 3 were case reports [49–51], 2 were review articles [52,53], 1 was a letter to the editor [54], and 12 were redundant series from the same institute [36,45,55–64]. Other papers from the same institution were attentively reviewed and were included if they did not report outcomes of patients already included in other articles.
New insights after the first 1000 liver transplantations at The University of Hong Kong
2016, Asian Journal of SurgeryCitation Excerpt :The absence of significant portal hypertension in patients is a factor favoring the adoption of left livers. A high graft portal flow of over 400 mL/100 g/min calls for portal manometry by insertion of a catheter via the inferior mesenteric vein, and a portal pressure of over 20 mmHg calls for portal inflow modulation with splenic artery ligation.41 DDLGs are a public resource while living donor liver grafts are dedicated gifts.
Outcomes of Living Donor Transplantation: The Western Perspective
2015, Transplantation of the Liver: Third Edition