The type of arterial anastomosis influences hepatic hemodynamics and overall survival in liver graft recipients.

  • B Boozari
  • Björn Nashan
  • H Hecker
  • S Kubicka
  • J Klempnauer
  • C Strassburg
  • M Manns
  • M J Gebel

Abstract

AIM: Evaluation of the influence of arterial anastomoses on hepatic hemodynamics and overall survival in liver graft recipients using color Doppler ultrasound. METHOD: 224 patients recruited retrospectively were divided into five groups according to arterial anastomoses: (1) common hepatic (CHA)/gastro duodenal, (2) CHA/CHA, (3) aorta/celiac trunc, (4) aorta/aorta, (5) more than one anastomosis. We compared maximum portal [(P)Vmax], systolic [(A)Vmax] and end diastolic [(A)Vmin] arterial velocities, resistance indexes(RI), spleen and liver size between the groups. We analyzed further in a multivariate analysis the influence of time elapsed since orthotopic liver transplantation, age of recipient and donor on significant parameters as well as the overall survival of the patients between the groups. RESULTS: Significant differences were found for: (A) Vmax between groups 2/4 (p

Bibliografische Daten

OriginalspracheDeutsch
Aufsatznummer6
ISSN0172-4614
StatusVeröffentlicht - 2007
pubmed 18074312