Portal flow modulation in auxiliary partial orthotopic liver transplantation
| Autor: | Anand Bharathan, Mohamed Rela, Kumar Palaniappan, Mettu Srinivas Reddy, Pradeep Thomas Cherian |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Graft dysfunction Flow modulation Orthotopic liver transplantation medicine.medical_treatment Liver transplantation Portal hemodynamics Living Donors medicine Humans In patient Transplantation Portal Vein business.industry Graft Survival Hemodynamics Infant Portal Pressure Liver Regeneration Liver Transplantation Surgery Treatment Outcome surgical procedures operative Child Preschool Surgical Procedures Operative Pediatrics Perinatology and Child Health Female Complication business Perfusion Liver Failure |
| Zdroj: | Pediatric Transplantation. 19:255-260 |
| ISSN: | 1397-3142 |
| DOI: | 10.1111/petr.12436 |
| Popis: | APOLT is a suitable technique of liver transplantation in patients with ALF and some types of MLD. Portal venous steal is a problem with this procedure that leads to graft dysfunction and failure. Modulation of the portal flow to the graft and native liver can help in preventing this problem. We discuss the pathophysiology of this complication, review available literature regarding its management, and describe our results using the technique of graded hemiportal banding to achieve adequate perfusion for the graft and native liver. |
| Databáze: | OpenAIRE |
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