Triple-phase computed tomography and intraoperative flow measurements improve the management of portosystemic shunts during liver transplantation

Liver Transplantation

Volumn 14, Issue 1, 2008, Pages 96-99

  Aucejo, Federico Natalio ^a   Hashimoto, Koji ^a   Quintini, Cristiano ^a   Kelly, Dympna ^a   Vogt, David ^a   Winans, Charles ^a   Eghtesad, Bijan ^a   Baker, Mark ^a   Fung, John ^a   Miller, Charles ^a  

^a LERNER RESEARCH INSTITUTE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

IOPROMIDE;

ADULT; ARTICLE; CLINICAL ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DEATH; FEMALE; FLOW MEASUREMENT; GRAFT RECIPIENT; HUMAN; IMAGE RECONSTRUCTION; INTRAOPERATIVE PERIOD; LIVER BLOOD FLOW; LIVER TRANSPLANTATION; MALE; PORTAL VEIN BLOOD FLOW; PORTAL VEIN THROMBOSIS; PORTOSYSTEMIC ANASTOMOSIS; POSTOPERATIVE PERIOD; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; SEPSIS; SPLENORENAL SHUNT; THROMBECTOMY; VEIN LIGATION;

FEMALE; GRAFT SURVIVAL; HUMANS; LIVER CIRCULATION; LIVER CIRRHOSIS; LIVER TRANSPLANTATION; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; PORTASYSTEMIC SHUNT, SURGICAL; POSTOPERATIVE COMPLICATIONS; RETROSPECTIVE STUDIES; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME;

EID: 38649131992     PISSN: 15276465     EISSN: 15276473     Source Type: Journal    
DOI: 10.1002/lt.21377     Document Type: Article

References (18)

1. De Carlis L, Del Favero E, Rondinara G, Belli LS, Sansalone CV, Zani B, et al. The role of spontaneous portosystemic shunts in the course of orthotopic liver transplantation. Transpl Int 1992;5:9-14.
2. Nonami T, Yokoyama I, Iwatsuki S, Starzl TE. The incidence of portal vein thrombosis at liver transplantation. Hepatology 1992;16:1195-1198.
3. Chiu KC, Sheu BS, Chuang CH. Portal venous flow pattern as a useful tool for predicting esophageal varix bleeding in cirrhotic patients. Dig Dis Sci 2005;50:1170-1174.
4. Hidajat N, Stobbe H, Griesshaber V, Schroder RJ, Felix R. Portal vein thrombosis: etiology, diagnostic strategy, therapy and management. Vasa 2005;34:81-92.
5. Esquivel CO, Klintmalm G, Iwatsuki S, Makowka L, Gordon RD, Tzakis A, Starzl TE. Liver transplantation in patients with patent splenorenal shunts. Surgery 1987;101: 430-432.
6. Ploeg RJ, D'Alessandro AM, Stegall MD, Wojtowycz M, Sproat IA, Knechtle SJ, et al. Effect of surgical and spontaneous portasystemic shunts on liver transplantation. Transplant Proc 1993;25:1946-1948.
7. Langnas AN, Marujo WC, Stratta RJ, Donovan JP, Sorrell MF, Rikkers LF, et al. Influence of a prior porta-systemic shunt on outcome after liver transplantation. Am J Gastroenterol 1992;87:714-718.
8. Shapiro RS, Varma CV, Schwartz ME, Miller CM. Splenorenal shunt closure after liver transplantation: intraoperative Doppler assessment of portal hemodynamics. Liver Transplant Surg 1997;3:641-642.
9. Kato T, Levi DM, DeFaria W, Nishida S, Tzakis AG. Liver transplantation with renoportal anastomosis after distal splenorenal shunt. Arch Surg 2000;135: 1401-1404.
10. Ackroyd N, Gill R, Griffiths K, Kossoff G, Reeve T. Duplex scanning of the portal vein and portosystemic shunts. Surgery 1986;99:591-597.
11. Belghiti J, Greiner P, Nouel O, Nahum H, Fekete F. Long-term loss of Warren's shunt selectivity: angiographic demonstration. Arch Surg 1981;166:1121-1124.
12. Widrich WC, Robbins AH, Johnson WC, Nabseth DC. Long-term follow-up of distal splenorenal shunts. Radiology 1980;134:341-345.
13. Rasmussen A, Hjortrup A, Kirkegaard P. Intraoperative measurement of graft blood flow - a necessity in liver transplantation. Transpl Int 1997;10:74-77.
14. Henderson JM, Gilmore GT, Mackay GJ, Galloway JR, Dodson TF, Kuntner MH. Hemodynamics during liver transplantation: the interactions between cardiac output and portal venous and hepatic arterial flows. Hepatology 1993;16:715-718.
15. Paulsen AW, Klintmalm GBG. Direct measurement of hepatic blood flow in native and transplanted organs, with accompanying hemodynamics. Hepatology 1992;16:100-111.
16. Demetris AJ, Kelly DM, Eghtesad B, Fontes P, Wallis Marsh J, Tom K, et al. Pathophysiologic observations and histopathologic recognition of the portal hypertension or small for size syndrome. Am J Surg Pathol 2006; 30:993.
17. Ezzat WR, Lautt WW. Hepatic arterial pressure-flow auto-regulation is adenosine mediated. Am Physiol 1987:252: H836-H845.
18. Kelly DM, Demetris AJ, Fung JJ, Marcos A, Zhu Y, Subbotin V, et al. Porcine partial liver transplantation: a novel model of the "small-for-size" liver graft. Liver Transpl 2004;10:253-263.