Hemashield Vascular Graft Is a Preferable Prosthetic Graft for Middle Hepatic Vein Reconstruction in Living Donor Liver Transplantation
| Autor: | I-Ji Jung, Chul-Soo Ahn, Tae-Yong Ha, Gil-Chun Park, Ki-Hun Kim, Jin-Uk Choi, Yong-Kyu Chung, Sung-Gyu Lee, Hui-Dong Cho, Shin Hwang, Young-In Yoon, Sang-Hyun Kang, Jae Hyun Kwon, Dong-Hwan Jung, Deok-Bog Moon, Gi-Won Song |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Prosthetic graft medicine.medical_treatment Hepatic Veins Liver transplantation Prosthesis Design End Stage Liver Disease Blood Vessel Prosthesis Implantation 03 medical and health sciences Liver disease 0302 clinical medicine Living Donors Humans Medicine Vascular Patency Vein Vein reconstruction Polytetrafluoroethylene Retrospective Studies 030304 developmental biology Original Paper 0303 health sciences Transplantation business.industry General Medicine Middle Aged medicine.disease Blood Vessel Prosthesis Liver Transplantation Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Female Vascular Grafting Tomography X-Ray Computed business Living donor liver transplantation Vascular graft |
| Zdroj: | Annals of Transplantation |
| ISSN: | 2329-0358 |
| DOI: | 10.12659/aot.919780 |
| Popis: | BACKGROUND Because of the supply shortage for homologous vein allografts, we previously used ringed Gore-Tex vascular grafts for middle hepatic vein (MHV) reconstruction in living donor liver transplantation. However, owing to the subsequent unavailability of ringed Gore-Tex grafts, we replaced them with Hemashield vascular grafts. This study aimed to compare the patency of Hemashield grafts with that of ringed Gore-Tex grafts. MATERIAL AND METHODS This was a retrospective double-arm study between the study group that used Hemashield grafts (n=63) and the historical control group that used ringed Gore-Tex grafts (n=126). RESULTS In the Gore-Tex and Hemashield groups, mean age was 53.1±6.2 and 54.3±10.4 years; model for end-stage liver disease score was 16.5±8.3 and 17.5±9.9; and graft-recipient weight ratio was 1.11±0.23 and 1.12±0.25, respectively. In the Gore-Tex graft group, V5 reconstruction was done in single (n=107, 84.9%), double (n=17, 13.5%), and none (n=2, 1.6%). V8 reconstruction was done in single (n=95, 75.4%), double (n=1, 0.8%), and none (n=30, 23.8%). In the Hemashield group, V5 reconstruction was done in single (n=43, 68.3%), double (n=19, 30.2%), and triple (n=1, 1.6%). V8 reconstruction was done in single (n=45, 71.4%), double (n=9, 14.3%), and none (n=9, 14.3%). One-year conduit patency rates in the Gore-Tex and Hemashield groups were 54.8% and 71.6%, respectively (p=0.048). CONCLUSIONS MHV reconstruction using Hemashield vascular grafts demonstrated higher short-term patency rates than those associated with ringed Gore-Tex vascular grafts. We suggest that the Hemashield vascular graft is one of the best prosthetic materials for MHV reconstruction. |
| Databáze: | OpenAIRE |
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