title: Using a radial artery as an interpositional vascular graft in a living-donor liver transplantation for hepatocellular carcinoma.
abstract: With increasing numbers of living-donor liver transplantations (LDLTs) for hepatocellular carcinoma (HCC), cases with some arterial troubles are encountered; because most HCC cases waiting for LDLT have undergone interventional treatments. In these patients, the reconstruction of the graft artery needs to be planned preoperatively. We report a 52-year-old male, with hepatitis C-related liver cirrhosis and advanced HCC, who for 4 years repeatedly underwent continuous intraarterial chemotherapy through an implanted reservoir port. A suitable artery was not available for arterial reconstruction and the patient underwent LDLT using an autologous radial artery conduit based on the infrarenal aorta. Postoperatively, the patient is well with normal liver function and efficient arterial flow. Autologous radial artery can be safely and successfully used as an aortic-based arterial conduit when HCC patients waiting for LDLT have undergone long-term repeated intraarterial chemotherapy.
authors.affiliation: First Department of Surgery, Mie University School of Medicine, Tsu, Japan.
authors.forename: Shugo
authors.initials: S
authors.lastname: Mizuno
authors.forename: Hajime
authors.initials: H
authors.lastname: Yokoi
authors.forename: Shuji
authors.initials: S
authors.lastname: Isaji
authors.forename: Kentaro
authors.initials: K
authors.lastname: Yamagiwa
authors.forename: Masami
authors.initials: M
authors.lastname: Tabata
authors.forename: Takatsugu
authors.initials: T
authors.lastname: Shimono
authors.forename: Fuminori
authors.initials: F
authors.lastname: Miya
authors.forename: Yasuji
authors.initials: Y
authors.lastname: Takada
authors.forename: Shinji
authors.initials: S
authors.lastname: Uemoto
mesh_terms: D000792:Angiography; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000601:surgery*; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D017534:Radial Artery / Q000637:transplantation*; D014182:Transplantation, Autologous; D016896:Treatment Outcome