A two-step strategy for enlargement of left arterial branch in a living related liver graft with dual arterial supply

Richard Douard; Giuseppe Maria Ettorre; Daniele Sommacale; Dominique Jan; Yann Révillon; Olivier Farges; Jacques Belghiti

doi:10.1097/00007890-200203270-00029

A two-step strategy for enlargement of left arterial branch in a living related liver graft with dual arterial supply

Richard Douard, Giuseppe Maria Ettorre, Daniele Sommacale, Dominique Jan, Yann Révillon, Olivier Farges, Jacques Belghiti

Research output: Contribution to journal › Article › peer-review

17 Scopus citations

Abstract

The use of small caliber arteries is probably responsible for the higher hepatic artery thrombosis rate initially reported after living related liver transplantation. We described a two-step strategy generating flow-induced enlargement of a small diameter artery in case of left graft dual arterial supply. The smaller arterial branch was ligated during a laparoscopic first-step procedure inducing a 30% enlargement of the remaining branch. The second-step donor hepatectomy was performed 1 week later using a larger artery for successful vascular anastomosis. The flow-induced enlargement of donor hepatic artery may help to reduce hepatic artery thrombosis risk after pediatric living related liver transplantation.

Original language	English (US)
Pages (from-to)	993-994
Number of pages	2
Journal	Transplantation
Volume	73
Issue number	6
DOIs	https://doi.org/10.1097/00007890-200203270-00029
State	Published - Mar 27 2002
Externally published	Yes

ASJC Scopus subject areas

Transplantation

Access to Document

10.1097/00007890-200203270-00029

Cite this

@article{d3717dfea2244885aca8757e282b17f4,

title = "A two-step strategy for enlargement of left arterial branch in a living related liver graft with dual arterial supply",

abstract = "The use of small caliber arteries is probably responsible for the higher hepatic artery thrombosis rate initially reported after living related liver transplantation. We described a two-step strategy generating flow-induced enlargement of a small diameter artery in case of left graft dual arterial supply. The smaller arterial branch was ligated during a laparoscopic first-step procedure inducing a 30% enlargement of the remaining branch. The second-step donor hepatectomy was performed 1 week later using a larger artery for successful vascular anastomosis. The flow-induced enlargement of donor hepatic artery may help to reduce hepatic artery thrombosis risk after pediatric living related liver transplantation.",

author = "Richard Douard and Ettorre, {Giuseppe Maria} and Daniele Sommacale and Dominique Jan and Yann R{\'e}villon and Olivier Farges and Jacques Belghiti",

year = "2002",

month = mar,

day = "27",

doi = "10.1097/00007890-200203270-00029",

language = "English (US)",

volume = "73",

pages = "993--994",

journal = "Transplantation",

issn = "0041-1337",

publisher = "Lippincott Williams and Wilkins",

number = "6",

}

TY - JOUR

T1 - A two-step strategy for enlargement of left arterial branch in a living related liver graft with dual arterial supply

AU - Douard, Richard

AU - Ettorre, Giuseppe Maria

AU - Sommacale, Daniele

AU - Jan, Dominique

AU - Révillon, Yann

AU - Farges, Olivier

AU - Belghiti, Jacques

PY - 2002/3/27

Y1 - 2002/3/27

N2 - The use of small caliber arteries is probably responsible for the higher hepatic artery thrombosis rate initially reported after living related liver transplantation. We described a two-step strategy generating flow-induced enlargement of a small diameter artery in case of left graft dual arterial supply. The smaller arterial branch was ligated during a laparoscopic first-step procedure inducing a 30% enlargement of the remaining branch. The second-step donor hepatectomy was performed 1 week later using a larger artery for successful vascular anastomosis. The flow-induced enlargement of donor hepatic artery may help to reduce hepatic artery thrombosis risk after pediatric living related liver transplantation.

AB - The use of small caliber arteries is probably responsible for the higher hepatic artery thrombosis rate initially reported after living related liver transplantation. We described a two-step strategy generating flow-induced enlargement of a small diameter artery in case of left graft dual arterial supply. The smaller arterial branch was ligated during a laparoscopic first-step procedure inducing a 30% enlargement of the remaining branch. The second-step donor hepatectomy was performed 1 week later using a larger artery for successful vascular anastomosis. The flow-induced enlargement of donor hepatic artery may help to reduce hepatic artery thrombosis risk after pediatric living related liver transplantation.

UR - http://www.scopus.com/inward/record.url?scp=0037181449&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037181449&partnerID=8YFLogxK

U2 - 10.1097/00007890-200203270-00029

DO - 10.1097/00007890-200203270-00029

M3 - Article

C2 - 11923706

AN - SCOPUS:0037181449

SN - 0041-1337

VL - 73

SP - 993

EP - 994

JO - Transplantation

JF - Transplantation

IS - 6

ER -

A two-step strategy for enlargement of left arterial branch in a living related liver graft with dual arterial supply

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this