%0 Journal Article
%T Contemporaneous Portal-Arterial Reperfusion during Liver Transplantation: Preliminary Results
%A G. L. Adani
%A A. Rossetto
%A V. Bresadola
%A D. Lorenzin
%A U. Baccarani
%A D. De Anna
%J Journal of Transplantation
%D 2011
%I Hindawi Publishing Corporation
%R 10.1155/2011/251656
%X 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¡À8 versus 37¡À7 min (<.001), while SPAr had longer arterial ischemia 103¡À42 min (=.0004). One-year patient's and graft survival were, respectively, 89% and 95% versus 94% and 100% (=.29). At median followup of 13¡À6 versus 14¡À7 months biliary complications were anastomotic stenosis in 15% versus 19% (=.78), and intrahepatic nonanastomotic biliary strictures in 26% versus none (=.01), respectively, in SPAr and CPAr. CPAr reduces the incidence of intrahepatic biliary strictures by decreasing the duration of arterial ischemia.
%U http://www.hindawi.com/journals/jtran/2011/251656/