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Is veno‐venous bypass still needed during liver transplantation? A review of the literature
Author(s) -
Hoffmann Katrin,
Weigand Markus A.,
Hillebrand Norbert,
Büchler Markus W.,
Schmidt Jan,
Schemmer Peter
Publication year - 2009
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/j.1399-0012.2008.00897.x
Subject(s) - medicine , inferior vena cava , liver transplantation , surgery , hemodynamics , venous return curve , transplantation , cardiology
Orthotopic liver transplantation has been made feasible with intra‐operative femoral‐to‐jugular veno‐venous bypass (VVB) to redirect the blood from the lower extremities and the kidneys to the heart. This reduces hemodynamic instability and metabolic disturbances. However, complications such as thromboses with pulmonary thrombembolism or post‐reperfusion syndrome were observed in up to 30% of the cases. The latter, recent developments of cava‐sparing surgical techniques, shorter anhepatic times plus optimized anesthetic management have made the necessity for a routine use of VVB questionable.