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Muller, SA; Schmied, BM; Welsch, T; Martin, DJ; Schemmer, P; Mehrabi, A; Weitz, J; Buchler, MW; Schmidt, J.
How to increase inflow in liver transplantation.
Clin Transplant. 2006; 20 Suppl 17(2):85-92
Doi: 10.1111/j.1399-0012.2006.00606.x
(- Case Report)
Web of Science
PubMed
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- Co-authors Med Uni Graz
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Schemmer Peter
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- Abstract:
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Liver transplantation (LTx) has become the treatment of choice for selected cases of benign and malignant liver disease. Despite becoming increasingly safer in recent years this procedure still incurs several serious postoperative complications. The most significant surgical complications are related to surgical technique, particularly the reconstruction and/or anastomosis of the hepatic artery. Arterial hypoperfusion may lead to graft failure, sepsis, or ischemic biliary lesions. In this review we focus on the Achilles' heel of LTx: the hepatic artery. We provide transplant surgeons with an overview of the technical options that are available to increase arterial inflow and subsequently improve patient outcome. We exemplify some of the discussed techniques using a liver transplant case with an eventful postoperative course because of arterial complications.
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Adult -
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Anastomosis, Surgical -
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Hepatic Artery - physiology
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Humans -
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Liver Circulation - physiology
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Liver Transplantation -
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Male -
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Postoperative Complications -
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Vascular Surgical Procedures -
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arterial inflow
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hepatic artery
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liver transplantation