Bypass during Liver Transplantation: Anachronism or Revival? Liver Transplantation Using a Combined VenovenousPortal Venous Bypass—Experiences with 163 Liver Transplants in a Newly Established Liver Transplantation Program
Joint Authors
Schmeding, Maximilian
Mossdorf, Anne
Ulmer, Florian
Junge, Karsten
Heidenhain, Christoph
Hein, Marc
Temizel, Ilknur
Schöning, Wenzel
Neumann, Ulf P.
Source
Gastroenterology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-03-02
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Introduction.
The venovenous/portal venous (VVP) bypass technique has generally become obsolete in liver transplantation (LT) today.
We evaluated our experience with 163 consecutive LTs that used a VVP bypass.
Patients and Methods.
The liver transplant program was started in our center in 2010.
LTs were performed using an extracorporal bypass device.
Results.
Mean operative time was 269 minutes and warm ischemic time 43 minutes.
The median number of transfusion of packed cells and plasma was 7 and 14.
There was no intraoperative death, and the 30-day mortality was 3%.
Severe bypass-induced complications did not occur.
Discussion.
The introduction of a new LT program requires maximum safety measures for all of the parties involved.
Both surgical and anaesthesiological management (reperfusion) can be controlled very reliably using a VVP bypass device.
Particularly when using marginal grafts, this approach helps to minimise both surgical and anaesthesiological complications in terms of less volume overload, less use of vasopressive drugs, less myocardial injury, and better peripheral blood circulation.
Conclusion.
Based on our experiences while establishing a new liver transplantation program, we advocate the reappraisal of the extracorporeal VVP bypass.
American Psychological Association (APA)
Mossdorf, Anne& Ulmer, Florian& Junge, Karsten& Heidenhain, Christoph& Hein, Marc& Temizel, Ilknur…[et al.]. 2015. Bypass during Liver Transplantation: Anachronism or Revival? Liver Transplantation Using a Combined VenovenousPortal Venous Bypass—Experiences with 163 Liver Transplants in a Newly Established Liver Transplantation Program. Gastroenterology Research and Practice،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1064365
Modern Language Association (MLA)
Mossdorf, Anne…[et al.]. Bypass during Liver Transplantation: Anachronism or Revival? Liver Transplantation Using a Combined VenovenousPortal Venous Bypass—Experiences with 163 Liver Transplants in a Newly Established Liver Transplantation Program. Gastroenterology Research and Practice No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1064365
American Medical Association (AMA)
Mossdorf, Anne& Ulmer, Florian& Junge, Karsten& Heidenhain, Christoph& Hein, Marc& Temizel, Ilknur…[et al.]. Bypass during Liver Transplantation: Anachronism or Revival? Liver Transplantation Using a Combined VenovenousPortal Venous Bypass—Experiences with 163 Liver Transplants in a Newly Established Liver Transplantation Program. Gastroenterology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1064365
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1064365