✦ LIBER ✦

The sequence of revascularization in liver transplantation: It does make a difference

✍ Scribed by Wojciech G. Polak; Robert J. Porte

Publisher: John Wiley and Sons
Year: 2006
Tongue: English
Weight: 75 KB
Volume: 12
Category: Article
ISSN: 1527-6465
DOI: 10.1002/lt.20797

No coin nor oath required. For personal study only.

✦ Synopsis

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.

EXPERIMENTAL STUDIES

Various reperfusion protocols have been analyzed in 3 experimental studies, using different animal models. [1][2][3] Hickman and Innes 1 compared 2 sequential protocols in pigs: initial arterial revascularization (IAR) vs. initial portal revascularization (IPR). These investigators found better homogenous perfusion of the liver graft after IAR, compared to IPR. However, there were no differences in posttransplantation aspartate aminotransferase serum levels among the 2 groups. van As et

📜 SIMILAR VOLUMES

Cesarean delivery of the breech very-low

Cesarean delivery of the breech very-low-birth-weight infant: Does it make a difference?

✍ Lucky Jain; Cynthia Ferre; Dharmapuri Vidyasagar 📂 Article 📅 1998 🏛 John Wiley and Sons 🌐 English ⚖ 35 KB 👁 2 views

We evaluated the impact of cesarean section (CS) delivery on the outcome of breech very-low-birth-weight (VLBW) (500-1,499 g) infants. This retrospective study used data from a large perinatal data base with 109,428 consecutive deliveries including 1,564 VLBW infants born between 1982 and 1987. The

Applying developmental theory to the ass

Applying developmental theory to the assessment and treatment of childhood disorders: does it make a difference?

✍ Thomas H. Ollendick; Amie E. Grills; Neville J. King 📂 Article 📅 2001 🏛 John Wiley and Sons 🌐 English ⚖ 124 KB 👁 1 views

Giving greater financial independence to

Giving greater financial independence to hospitals—does it make a difference? The case of English NHS Trusts

✍ Giorgia Marini; Marisa Miraldo; Rowena Jacobs; Maria Goddard 📂 Article 📅 2008 🏛 John Wiley and Sons 🌐 English ⚖ 221 KB 👁 1 views

## Abstract In 2003 a new type of provider organisation, the Foundation Trust (FT), was introduced in England, and the best performing NHS hospitals were able to apply for ‘Foundation status’. FTs enjoy greater financial flexibility and are subject to less central monitoring and control. The phased

Assessment and validation of the new cap

Assessment and validation of the new capsule endoscopy Crohn's disease activity index (CECDAI): What difference does it make?

✍ Suryakanth R. Gurudu; Jonathan A. Leighton 📂 Article 📅 2009 🏛 John Wiley and Sons 🌐 English ⚖ 53 KB 👁 1 views

Mortality following liver resection in U

Mortality following liver resection in US medicare patients: Does the presence of a liver transplant program affect outcome?

✍ Elijah Dixon; Sebastian Schneeweiss; Janice L. Pasieka; Oliver F. Bathe; Francis 📂 Article 📅 2007 🏛 John Wiley and Sons 🌐 English ⚖ 133 KB

Does assessment make a difference for pe

Does assessment make a difference for people with dementia? The effectiveness of the Aged Care Assessment Teams in Australia

✍ Anna L. Howe; Francis Kung 📂 Article 📅 2003 🏛 John Wiley and Sons 🌐 English ⚖ 57 KB 👁 2 views

## Abstract The needs of individuals with dementia and other psychiatric problems of old age have received increased attention in Australia over the last decade. This paper reports on the role of Aged Care Assessment Teams (ACATs) in managing these clients, and the extent to which they are differen