Is veno‐venous bypass still needed during liver transplantation? A review of the literature
2009; Wiley; Volume: 23; Issue: 1 Linguagem: Inglês
10.1111/j.1399-0012.2008.00897.x
ISSN1399-0012
AutoresKatrin Hoffmann, Markus Weigand, Norbert Hillebrand, Markus W. Büchler, Jan Schmidt, Peter Schemmer,
Tópico(s)Transplantation: Methods and Outcomes
ResumoAbstract: Orthotopic liver transplantation has been made feasible with intra‐operative femoral‐to‐jugular veno‐venous bypass (VVB) to redirect the blood from the lower extremities and the kidneys to the heart. This reduces hemodynamic instability and metabolic disturbances. However, complications such as thromboses with pulmonary thrombembolism or post‐reperfusion syndrome were observed in up to 30% of the cases. The latter, recent developments of cava‐sparing surgical techniques, shorter anhepatic times plus optimized anesthetic management have made the necessity for a routine use of VVB questionable.
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