title: Contemporaneous Portal-Arterial Reperfusion during Liver Transplantation: Preliminary Results.
abstract: We prospectively compared sequential portal-arterial revascularization (SPAr, group 1 no. 19) versus contemporaneous portal-hepatic artery revascularization (CPAr, group 2 no. 21) in 40 consecutive liver transplantation (LT). There were no differences in the demographics characteristics, MELD score, indication to LT, and donor's parameters between the two groups. CPAr had longer warm ischemia 66 ± 8 versus 37 ± 7 min (P < .001), while SPAr had longer arterial ischemia 103 ± 42 min (P = .0004). One-year patient's and graft survival were, respectively, 89% and 95% versus 94% and 100% (P = .29). At median followup of 13 ± 6 versus 14 ± 7 months biliary complications were anastomotic stenosis in 15% versus 19% (P = .78), and intrahepatic nonanastomotic biliary strictures in 26% versus none (P = .01), respectively, in SPAr and CPAr. CPAr reduces the incidence of intrahepatic biliary strictures by decreasing the duration of arterial ischemia.
authors.affiliation: Department of Surgery and Transplantation, University Hospital of Udine, 33100 Udine, Italy.
authors.forename: G L
authors.initials: GL
authors.lastname: Adani
authors.forename: A
authors.initials: A
authors.lastname: Rossetto
authors.forename: V
authors.initials: V
authors.lastname: Bresadola
authors.forename: D
authors.initials: D
authors.lastname: Lorenzin
authors.forename: U
authors.initials: U
authors.lastname: Baccarani
authors.forename: D
authors.initials: D
authors.lastname: De Anna