Liver Transplantation Utilizing Mixed Biologic and Synthetic Arterial Conduits
Arterial conduits are necessary in nearly 5% of all liver transplants and are usually constructed utilizing segments of donor iliac artery. However, available segments of donor iliac artery may not be lengthy enough or may not possess enough quality to enable its inclusion in the conduit. Although t...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2016/9245079 |
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| author | Marcio F. Chedid Tomaz J. M. Grezzana-Filho Aljamir D. Chedid Luiz Pedro P. Hendges Ian Leipnitz Mario R. Alvares-da-Silva Ariane N. Backes Matheus J. Reis Cleber Dario P. Kruel Cleber R. P. Kruel |
| author_facet | Marcio F. Chedid Tomaz J. M. Grezzana-Filho Aljamir D. Chedid Luiz Pedro P. Hendges Ian Leipnitz Mario R. Alvares-da-Silva Ariane N. Backes Matheus J. Reis Cleber Dario P. Kruel Cleber R. P. Kruel |
| author_sort | Marcio F. Chedid |
| collection | DOAJ |
| description | Arterial conduits are necessary in nearly 5% of all liver transplants and are usually constructed utilizing segments of donor iliac artery. However, available segments of donor iliac artery may not be lengthy enough or may not possess enough quality to enable its inclusion in the conduit. Although there are few reports of arterial conduits constructed solely utilizing prosthetic material, no previous reports of conduits composed of a segment of donor iliac artery and prosthetic material (mixed biologic and synthetic arterial conduits) were found in the medial literature to date. Two cases reporting successful outcomes after creation of mixed biologic and prosthetic arterial conduits are outlined in this report. Reason for creation of conduits was complete intimal dissection of the recipient’s hepatic artery in both cases. In both cases, available segments of donor iliac artery were not lengthy enough to bridge infrarenal aorta to porta hepatis. Both patients have patent conduits and normally functioning liver allografts, respectively, at 4 and 31 months after transplant. Mixed biologic and synthetic arterial conduits constitute a viable technical option and may offer potential advantages over fully prosthetic arterial conduits. |
| format | Article |
| id | doaj-art-3449b5b9c59f44a28e61ec2c19c84df0 |
| institution | OA Journals |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-3449b5b9c59f44a28e61ec2c19c84df02025-08-20T02:24:05ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/92450799245079Liver Transplantation Utilizing Mixed Biologic and Synthetic Arterial ConduitsMarcio F. Chedid0Tomaz J. M. Grezzana-Filho1Aljamir D. Chedid2Luiz Pedro P. Hendges3Ian Leipnitz4Mario R. Alvares-da-Silva5Ariane N. Backes6Matheus J. Reis7Cleber Dario P. Kruel8Cleber R. P. Kruel9Liver and Pancreas Transplant and Hepatobiliary Surgery Unit, Hospital de Clinicas de Porto Alegre, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, BrazilLiver and Pancreas Transplant and Hepatobiliary Surgery Unit, Hospital de Clinicas de Porto Alegre, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, BrazilLiver and Pancreas Transplant and Hepatobiliary Surgery Unit, Hospital de Clinicas de Porto Alegre, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, BrazilLiver and Pancreas Transplant and Hepatobiliary Surgery Unit, Hospital de Clinicas de Porto Alegre, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, BrazilLiver and Pancreas Transplant and Hepatobiliary Surgery Unit, Hospital de Clinicas de Porto Alegre, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, BrazilDivision of Gastroenterology and Hepatology, Hospital de Clinicas de Porto Alegre, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, BrazilLiver and Pancreas Transplant and Hepatobiliary Surgery Unit, Hospital de Clinicas de Porto Alegre, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, BrazilLiver and Pancreas Transplant and Hepatobiliary Surgery Unit, Hospital de Clinicas de Porto Alegre, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, BrazilLiver and Pancreas Transplant and Hepatobiliary Surgery Unit, Hospital de Clinicas de Porto Alegre, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, BrazilLiver and Pancreas Transplant and Hepatobiliary Surgery Unit, Hospital de Clinicas de Porto Alegre, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, BrazilArterial conduits are necessary in nearly 5% of all liver transplants and are usually constructed utilizing segments of donor iliac artery. However, available segments of donor iliac artery may not be lengthy enough or may not possess enough quality to enable its inclusion in the conduit. Although there are few reports of arterial conduits constructed solely utilizing prosthetic material, no previous reports of conduits composed of a segment of donor iliac artery and prosthetic material (mixed biologic and synthetic arterial conduits) were found in the medial literature to date. Two cases reporting successful outcomes after creation of mixed biologic and prosthetic arterial conduits are outlined in this report. Reason for creation of conduits was complete intimal dissection of the recipient’s hepatic artery in both cases. In both cases, available segments of donor iliac artery were not lengthy enough to bridge infrarenal aorta to porta hepatis. Both patients have patent conduits and normally functioning liver allografts, respectively, at 4 and 31 months after transplant. Mixed biologic and synthetic arterial conduits constitute a viable technical option and may offer potential advantages over fully prosthetic arterial conduits.http://dx.doi.org/10.1155/2016/9245079 |
| spellingShingle | Marcio F. Chedid Tomaz J. M. Grezzana-Filho Aljamir D. Chedid Luiz Pedro P. Hendges Ian Leipnitz Mario R. Alvares-da-Silva Ariane N. Backes Matheus J. Reis Cleber Dario P. Kruel Cleber R. P. Kruel Liver Transplantation Utilizing Mixed Biologic and Synthetic Arterial Conduits Case Reports in Surgery |
| title | Liver Transplantation Utilizing Mixed Biologic and Synthetic Arterial Conduits |
| title_full | Liver Transplantation Utilizing Mixed Biologic and Synthetic Arterial Conduits |
| title_fullStr | Liver Transplantation Utilizing Mixed Biologic and Synthetic Arterial Conduits |
| title_full_unstemmed | Liver Transplantation Utilizing Mixed Biologic and Synthetic Arterial Conduits |
| title_short | Liver Transplantation Utilizing Mixed Biologic and Synthetic Arterial Conduits |
| title_sort | liver transplantation utilizing mixed biologic and synthetic arterial conduits |
| url | http://dx.doi.org/10.1155/2016/9245079 |
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