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The sequence of revascularization in liver transplantation: It does make a difference
Author(s) -
Polak Wojciech G.,
Porte Robert J.
Publication year - 2006
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1002/lt.20797
Subject(s) - medicine , liver transplantation , revascularization , sequence (biology) , transplantation , medline , biology , myocardial infarction , genetics , political science , law
No consensus exists regarding the most optimal sequence of revascularization of the liver graft during liver transplantation. The current methods of revascularization of the liver graft can be divided into 2 main groups (Table 1). The first group is sequential revascularization, in which the graft is first reperfused via either the portal vein or the hepatic artery (anterograde reperfusion), or via the inferior vena cava (IVC) (retrograde reperfusion), with subsequent reconstruction of the remaining vessels. The second group is simultaneous revascularization, in which the graft is reperfused simultaneously via the portal vein and hepatic artery. Experimental as well as clinical studies comparing different methods of revascularization are still scarce, results are not always unequivocal, and endpoints differ largely between different studies. Nevertheless, some important messages can be extracted from the current literature.