Usability of Inferior Vena Cava Interposition Graft During Living Donor Liver Transplantation: Is This Approach Always Necessary?

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dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridKutluturk, Koray/0000-0002-7030-4953;
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.authorwosidKutluturk, Koray/S-5493-2019
dc.authorwosidBarut, Bora/ABD-9882-2020
dc.contributor.authorGonultas, Fatih
dc.contributor.authorAkbulut, Sami
dc.contributor.authorBarut, Bora
dc.contributor.authorUsta, Sertac
dc.contributor.authorKutluturk, Koray
dc.contributor.authorKutlu, Ramazan
dc.contributor.authorYilmaz, Sezai
dc.date.accessioned2024-08-04T20:46:43Z
dc.date.available2024-08-04T20:46:43Z
dc.date.issued2020
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPurpose To share the outcome of caval reconstruction technique in patients who underwent living donor liver transplantation (LDLT) with inferior vena cava (IVC) interposition grafting. Methods Between January 2009 and December 2018, an artificial or homologous interposition vascular graft was used for the continuity of resected native (IVC) due to various reasons in 29 of 1740 patients who underwent LDLT at our institute. Demographic, clinical, and radiological data were prospectively collected and retrospectively analyzed. Results Sixteen female and 13 male patients ranging 6-67 years of age were included. Right, left, and left lobe lateral segments were used in 22, 5, and 2 patients, respectively. The three leading LDLT indications were primary or idiopathic Budd-Chiari syndrome (BCS) (n = 12), alveolar echinococcosis (n = 7), and secondary BCS (n = 5). The three leading indications for IVC interposition grafting were thrombosis, dense fibrosis, and IVC invasion caused by tumor or echinococcosis. Homologous IVC graft was used in 17, homologous aortic graft in 7, and Dacron graft in 5 patients. Throughout the follow-up period, ascites +/- pleural effusion and elevated liver enzymes were detected in 12 and 4 patients, respectively. Stenosis and/or thrombosis requiring one or more procedures such as 1-6 sessions balloon angioplasty, stent, and thrombus aspiration were observed in half of the patients. Conclusion Retrohepatic IVC damages are not a contraindication for LDLT. The presence or absence of venous collateral circulation is an important indicator of the need for IVC interposition graft use.en_US
dc.identifier.doi10.1007/s11605-019-04342-6
dc.identifier.endpage1551en_US
dc.identifier.issn1091-255X
dc.identifier.issn1873-4626
dc.identifier.issue7en_US
dc.identifier.pmid31385171en_US
dc.identifier.scopus2-s2.0-85070200477en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1540en_US
dc.identifier.urihttps://doi.org/10.1007/s11605-019-04342-6
dc.identifier.urihttps://hdl.handle.net/11616/98901
dc.identifier.volume24en_US
dc.identifier.wosWOS:000548626300010en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofJournal of Gastrointestinal Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLiving donor liver transplantationen_US
dc.subjectInferior Vena Cava replacementen_US
dc.subjectInterposition graften_US
dc.subjectArtificial graften_US
dc.subjectHomologous graften_US
dc.titleUsability of Inferior Vena Cava Interposition Graft During Living Donor Liver Transplantation: Is This Approach Always Necessary?en_US
dc.typeArticleen_US

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