How to increase inflow in liver transplantation

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • S. A. Muller - , Universität Heidelberg (Autor:in)
  • Bruno M. Schmied - , Universität Heidelberg (Autor:in)
  • T. Welsch - , Universität Heidelberg (Autor:in)
  • D. J. Martin - , Universität Heidelberg (Autor:in)
  • P. Schemmer - , Universität Heidelberg (Autor:in)
  • A. Mehrabi - , Universität Heidelberg (Autor:in)
  • J. Weitz - , Universität Heidelberg (Autor:in)
  • M. W. Buchler - , Universität Heidelberg (Autor:in)
  • J. Schmidt - , Universität Heidelberg (Autor:in)

Abstract

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.

Details

OriginalspracheEnglisch
Seiten (von - bis)85-92
Seitenumfang8
FachzeitschriftClinical Transplantation
Jahrgang20
AusgabenummerSUPPL. 17
PublikationsstatusVeröffentlicht - Dez. 2006
Peer-Review-StatusJa
Extern publiziertJa

Externe IDs

PubMed 17100707

Schlagworte

ASJC Scopus Sachgebiete

Schlagwörter

  • Arterial inflow, Hepatic artery, Liver transplantation