Clinical application of arterialization of portal vein in living related donor partial liver transplantation

✍ Scribed by Taisuke Morimoto; Mitsuhiro Terasaki; Hiroshi Higashiyama; Koichi Tanaka; Shinji Uemoto; Akira Tanaka; Yasuyuki Shimahara; Keiichiro Mori; Hong Jin Kim; Yasuo Kamiyama; Yoshio Yamaoka; Kaoru Kumada; Kazue Ozawa

• Publisher: Springer
• Year: 1992
• Tongue: English
• Weight: 371 KB
• Volume: 5
• Category: Article
• ISSN: 0934-0874
• DOI: 10.1007/bf00336600

✦ Synopsis

Arterialization of the portal vein was employed during hepatic arterial reconstruction in our first few clinical experiences of partial liver transplantation using liver grafts obtained from living related donors. This procedure reduced the time required for revascularization of the grafts to about 25 min, and could in fact reduce the ischemic phase of the grafts. Repeated practice of the clinical transplantation technique has shortened the time needed to complete vascular reconstruction, eliminating the need for this procedure in most of our subsequent cases. In many clinical cases, however, there may be emergency situations which require vascular reconstruction, resulting in a prolongation of ischemic phase and the deterioration of the cellular viability of the graft. In such situations, arterialization of the portal vein can be a useful way to prevent the prolongation of the ischemic phase and to rescue the graft.