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Reperfusion of liver graft during Transplantation: techniques used in transplant centres within Eurotransplant and meta-analysis of the literature

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Reperfusion of liver graft during Transplantation: techniques used in transplant centres within Eurotransplant and meta-analysis of the literature. / Manzini, Giulia; Kremer, Michael; Houben, Philipp; Gondan, Matthias; Bechstein, Wolf O; Becker, Thomas; Berlakovich, Gabriela A; Friess, Helmut; Guba, Markus; Hohenberger, Werner; Ijzermans, Jan N M; Jonas, Sven; Kalff, Jörg C; Klar, Ernst; Klempnauer, Jürgen; Lerut, Jan; Lippert, Hans; Lorf, Thomas; Nadalin, Silvio; Nashan, Björn; Otto, Gerd; Paul, Andreas; Pirenne, Jacques; Pratschke, Johann; Ringers, Jan; Rogiers, Xavier; Schilling, Martin K; Seehofer, Daniel; Senninger, Norbert; Settmacher, Utz; Stippel, Dirk L; Tscheliessnigg, Karlheinz; Ysebaert, Dirk; Binder, Heidrun; Schemmer, Peter.

In: TRANSPL INT, Vol. 26, No. 5, 01.05.2013, p. 508-16.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Manzini, G, Kremer, M, Houben, P, Gondan, M, Bechstein, WO, Becker, T, Berlakovich, GA, Friess, H, Guba, M, Hohenberger, W, Ijzermans, JNM, Jonas, S, Kalff, JC, Klar, E, Klempnauer, J, Lerut, J, Lippert, H, Lorf, T, Nadalin, S, Nashan, B, Otto, G, Paul, A, Pirenne, J, Pratschke, J, Ringers, J, Rogiers, X, Schilling, MK, Seehofer, D, Senninger, N, Settmacher, U, Stippel, DL, Tscheliessnigg, K, Ysebaert, D, Binder, H & Schemmer, P 2013, 'Reperfusion of liver graft during Transplantation: techniques used in transplant centres within Eurotransplant and meta-analysis of the literature', TRANSPL INT, vol. 26, no. 5, pp. 508-16. https://doi.org/10.1111/tri.12083

APA

Manzini, G., Kremer, M., Houben, P., Gondan, M., Bechstein, W. O., Becker, T., Berlakovich, G. A., Friess, H., Guba, M., Hohenberger, W., Ijzermans, J. N. M., Jonas, S., Kalff, J. C., Klar, E., Klempnauer, J., Lerut, J., Lippert, H., Lorf, T., Nadalin, S., ... Schemmer, P. (2013). Reperfusion of liver graft during Transplantation: techniques used in transplant centres within Eurotransplant and meta-analysis of the literature. TRANSPL INT, 26(5), 508-16. https://doi.org/10.1111/tri.12083

Vancouver

Manzini G, Kremer M, Houben P, Gondan M, Bechstein WO, Becker T et al. Reperfusion of liver graft during Transplantation: techniques used in transplant centres within Eurotransplant and meta-analysis of the literature. TRANSPL INT. 2013 May 1;26(5):508-16. https://doi.org/10.1111/tri.12083

Bibtex

@article{4cebd7018bb649b998664a5695b01e3d,
title = "Reperfusion of liver graft during Transplantation: techniques used in transplant centres within Eurotransplant and meta-analysis of the literature",
abstract = "It remains unclear which liver graft reperfusion technique leads to the best outcome following transplantation. An online survey was sent to all transplant centres (n = 37) within Eurotransplant (ET) to collect information on their technique used for reperfusion of liver grafts. Furthermore, a systematic review of all literature was performed and a meta-analysis was conducted based on patients' mortality, number of retransplantations and incidence of biliary complications, depending on the technique used. Of the 28 evaluated centres, 11 (39%) reported performing simultaneous reperfusion (SIMR), 13 (46%) perform initial portal vein reperfusion (IPR), 1 (4%) performs an initial hepatic artery reperfusion (IAR) and 3 (11%) perform retrograde reperfusion (RETR). In 21 centres (75%), one reperfusion technique is used as a standard, but in only one centre is this decision based on available literature. Twenty centres (71%) said they would agree to participate in randomized controlled trials (RCT) if required. For meta-analysis, IAR vs. IPR, SIMR vs. IPR and RETR vs. IPR were compared. There was no difference between any of the techniques compared. There is no consensus on a preferable reperfusion technique. Available evidence does not help in the decision-making process. There is thus an urgent need for multicentric RCTs.",
keywords = "Europe, Hepatic Artery, Humans, Liver Circulation, Liver Transplantation, Portal Vein, Questionnaires, Randomized Controlled Trials as Topic, Reperfusion, Treatment Outcome",
author = "Giulia Manzini and Michael Kremer and Philipp Houben and Matthias Gondan and Bechstein, {Wolf O} and Thomas Becker and Berlakovich, {Gabriela A} and Helmut Friess and Markus Guba and Werner Hohenberger and Ijzermans, {Jan N M} and Sven Jonas and Kalff, {J{\"o}rg C} and Ernst Klar and J{\"u}rgen Klempnauer and Jan Lerut and Hans Lippert and Thomas Lorf and Silvio Nadalin and Bj{\"o}rn Nashan and Gerd Otto and Andreas Paul and Jacques Pirenne and Johann Pratschke and Jan Ringers and Xavier Rogiers and Schilling, {Martin K} and Daniel Seehofer and Norbert Senninger and Utz Settmacher and Stippel, {Dirk L} and Karlheinz Tscheliessnigg and Dirk Ysebaert and Heidrun Binder and Peter Schemmer",
note = "{\textcopyright} 2013 The Authors Transplant International {\textcopyright} 2013 European Society for Organ Transplantation. Published by Blackwell Publishing Ltd.",
year = "2013",
month = may,
day = "1",
doi = "10.1111/tri.12083",
language = "English",
volume = "26",
pages = "508--16",
journal = "TRANSPL INT",
issn = "0934-0874",
publisher = "Wiley-Blackwell",
number = "5",

}

RIS

TY - JOUR

T1 - Reperfusion of liver graft during Transplantation: techniques used in transplant centres within Eurotransplant and meta-analysis of the literature

AU - Manzini, Giulia

AU - Kremer, Michael

AU - Houben, Philipp

AU - Gondan, Matthias

AU - Bechstein, Wolf O

AU - Becker, Thomas

AU - Berlakovich, Gabriela A

AU - Friess, Helmut

AU - Guba, Markus

AU - Hohenberger, Werner

AU - Ijzermans, Jan N M

AU - Jonas, Sven

AU - Kalff, Jörg C

AU - Klar, Ernst

AU - Klempnauer, Jürgen

AU - Lerut, Jan

AU - Lippert, Hans

AU - Lorf, Thomas

AU - Nadalin, Silvio

AU - Nashan, Björn

AU - Otto, Gerd

AU - Paul, Andreas

AU - Pirenne, Jacques

AU - Pratschke, Johann

AU - Ringers, Jan

AU - Rogiers, Xavier

AU - Schilling, Martin K

AU - Seehofer, Daniel

AU - Senninger, Norbert

AU - Settmacher, Utz

AU - Stippel, Dirk L

AU - Tscheliessnigg, Karlheinz

AU - Ysebaert, Dirk

AU - Binder, Heidrun

AU - Schemmer, Peter

N1 - © 2013 The Authors Transplant International © 2013 European Society for Organ Transplantation. Published by Blackwell Publishing Ltd.

PY - 2013/5/1

Y1 - 2013/5/1

N2 - It remains unclear which liver graft reperfusion technique leads to the best outcome following transplantation. An online survey was sent to all transplant centres (n = 37) within Eurotransplant (ET) to collect information on their technique used for reperfusion of liver grafts. Furthermore, a systematic review of all literature was performed and a meta-analysis was conducted based on patients' mortality, number of retransplantations and incidence of biliary complications, depending on the technique used. Of the 28 evaluated centres, 11 (39%) reported performing simultaneous reperfusion (SIMR), 13 (46%) perform initial portal vein reperfusion (IPR), 1 (4%) performs an initial hepatic artery reperfusion (IAR) and 3 (11%) perform retrograde reperfusion (RETR). In 21 centres (75%), one reperfusion technique is used as a standard, but in only one centre is this decision based on available literature. Twenty centres (71%) said they would agree to participate in randomized controlled trials (RCT) if required. For meta-analysis, IAR vs. IPR, SIMR vs. IPR and RETR vs. IPR were compared. There was no difference between any of the techniques compared. There is no consensus on a preferable reperfusion technique. Available evidence does not help in the decision-making process. There is thus an urgent need for multicentric RCTs.

AB - It remains unclear which liver graft reperfusion technique leads to the best outcome following transplantation. An online survey was sent to all transplant centres (n = 37) within Eurotransplant (ET) to collect information on their technique used for reperfusion of liver grafts. Furthermore, a systematic review of all literature was performed and a meta-analysis was conducted based on patients' mortality, number of retransplantations and incidence of biliary complications, depending on the technique used. Of the 28 evaluated centres, 11 (39%) reported performing simultaneous reperfusion (SIMR), 13 (46%) perform initial portal vein reperfusion (IPR), 1 (4%) performs an initial hepatic artery reperfusion (IAR) and 3 (11%) perform retrograde reperfusion (RETR). In 21 centres (75%), one reperfusion technique is used as a standard, but in only one centre is this decision based on available literature. Twenty centres (71%) said they would agree to participate in randomized controlled trials (RCT) if required. For meta-analysis, IAR vs. IPR, SIMR vs. IPR and RETR vs. IPR were compared. There was no difference between any of the techniques compared. There is no consensus on a preferable reperfusion technique. Available evidence does not help in the decision-making process. There is thus an urgent need for multicentric RCTs.

KW - Europe

KW - Hepatic Artery

KW - Humans

KW - Liver Circulation

KW - Liver Transplantation

KW - Portal Vein

KW - Questionnaires

KW - Randomized Controlled Trials as Topic

KW - Reperfusion

KW - Treatment Outcome

U2 - 10.1111/tri.12083

DO - 10.1111/tri.12083

M3 - SCORING: Journal article

C2 - 23517278

VL - 26

SP - 508

EP - 516

JO - TRANSPL INT

JF - TRANSPL INT

SN - 0934-0874

IS - 5

ER -