Venous anastomosis using a non‐penetrating vascular closure system in orthotopic liver transplantation

Wang, Yuan; Zhao, Xianxian; Pan, Bing; Lv, Shaocheng; Zhang, Xingmao; Zhang, Zhihua; Li, Lixin; Li, Xianliang; He, Qiang

doi:10.1111/ctr.13123

Cited by 2 publications

(1 citation statement)

References 46 publications

(47 reference statements)

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“…Especially when the piggyback technique is used during OLT, drainage pattern of the hepatic veins should be assessed, and twisting of the anastomoses must be recognized [49]. Many different techniques of suturing have been proposed, and recently, non-penetrating vascular closure systems have been developed with similar efficacy for anastomosis of the IVC and the PV and with shorter anastomotic time [50]. Irrespective of the established technique, a sufficiently wide lumen is essential, although intervention is rarely necessary.…”

Section: Hepatic Venous Complicationsmentioning

confidence: 99%

Portal Hypertension after Liver Transplantation—Causes and Management

Unger

Mandorfer

Reiberger

2019

Curr Hepatology Rep

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Purpose of Review While portal hypertension (PHT) treatment strategies for patients with advanced chronic liver disease (ACLD) are well established, studies on the management of PHT after orthotopic liver transplantation (OLT) are limited. This is due to the heterogeneous causes of portal hypertension in the OLT setting. Recent Findings Specific recommendations for the management of non-alcoholic steatohepatitis (NASH), including medical and surgical therapeutic options, and hepatitis C virus (HCV) infection after OLT, are available with most of them applying to transplanted patients. Important concepts to prevent and manage portal vein thrombosis (PVT)-including anticoagulation and TIPS implantation-have been developed. Surgical approaches to resolve PVT, when encountered intraoperatively, have been refined. Finally, interventional treatment options for PHT-related complications and hepatic venous outflow obstruction are available. Summary NASH has a high recurrence rate and causes considerable postoperative morbidity. HCV can be successfully treated in most cases. Specific medical and interventional as well as surgical treatment options are available for PHT after OLT-including for PHT due to surgical complications.

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Section: Hepatic Venous Complicationsmentioning

confidence: 99%