Use of donor aorta for arterial reconstruction in paediatric liver and multivisceral transplantation

Seigo Nishida, A. Vaidya, T. Kato, N. Nakamura, J. Madariaga, A. Tzakis

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: Arterial reconstruction remains the most important technical issue in paediatric transplantation. The arteries of paediatric donors as well as recipients are small and friable. The aim of this study was to assess the use of the donor aorta as a conduit for arterial reconstruction in paediatric liver and multivisceral transplantation. Methods: Between June 1994 and January 2002, 284 paediatric transplants, including 197 cadaveric liver and multivisceral transplants, were performed in children at this centre. Of these, 41 (20.8 per cent), including nine cadaveric liver transplants and 32 multivisceral transplants, were revascularized by donor aortic reconstruction. Patient demographics, types of donor arterial reconstruction, technical complications and incidence of hepatic artery thrombosis were reviewed. Results: None of the 41 donor aortic reconstructions used in revascularization of paediatric liver and multivisceral transplants thrombosed. There were no bleeding complications and no pseudoaneurysms developed. Conclusion: Arterial reconstruction using donor aorta is a useful option with a low incidence of thrombosis in paediatric transplantation.

Original languageEnglish
Pages (from-to)705-708
Number of pages4
JournalBritish Journal of Surgery
Volume91
Issue number6
DOIs
StatePublished - Jun 1 2004

Fingerprint

Liver Transplantation
Aorta
Tissue Donors
Pediatrics
Transplants
Thrombosis
Liver
Transplantation
Hepatic Artery
False Aneurysm
Incidence
Arteries
Demography
Hemorrhage

ASJC Scopus subject areas

  • Surgery

Cite this

Use of donor aorta for arterial reconstruction in paediatric liver and multivisceral transplantation. / Nishida, Seigo; Vaidya, A.; Kato, T.; Nakamura, N.; Madariaga, J.; Tzakis, A.

In: British Journal of Surgery, Vol. 91, No. 6, 01.06.2004, p. 705-708.

Research output: Contribution to journalArticle

Nishida, S, Vaidya, A, Kato, T, Nakamura, N, Madariaga, J & Tzakis, A 2004, 'Use of donor aorta for arterial reconstruction in paediatric liver and multivisceral transplantation', British Journal of Surgery, vol. 91, no. 6, pp. 705-708. https://doi.org/10.1002/bjs.4550
Nishida, Seigo ; Vaidya, A. ; Kato, T. ; Nakamura, N. ; Madariaga, J. ; Tzakis, A. / Use of donor aorta for arterial reconstruction in paediatric liver and multivisceral transplantation. In: British Journal of Surgery. 2004 ; Vol. 91, No. 6. pp. 705-708.
@article{7312b62a17604df099c4d2b62038dc21,
title = "Use of donor aorta for arterial reconstruction in paediatric liver and multivisceral transplantation",
abstract = "Background: Arterial reconstruction remains the most important technical issue in paediatric transplantation. The arteries of paediatric donors as well as recipients are small and friable. The aim of this study was to assess the use of the donor aorta as a conduit for arterial reconstruction in paediatric liver and multivisceral transplantation. Methods: Between June 1994 and January 2002, 284 paediatric transplants, including 197 cadaveric liver and multivisceral transplants, were performed in children at this centre. Of these, 41 (20.8 per cent), including nine cadaveric liver transplants and 32 multivisceral transplants, were revascularized by donor aortic reconstruction. Patient demographics, types of donor arterial reconstruction, technical complications and incidence of hepatic artery thrombosis were reviewed. Results: None of the 41 donor aortic reconstructions used in revascularization of paediatric liver and multivisceral transplants thrombosed. There were no bleeding complications and no pseudoaneurysms developed. Conclusion: Arterial reconstruction using donor aorta is a useful option with a low incidence of thrombosis in paediatric transplantation.",
author = "Seigo Nishida and A. Vaidya and T. Kato and N. Nakamura and J. Madariaga and A. Tzakis",
year = "2004",
month = "6",
day = "1",
doi = "10.1002/bjs.4550",
language = "English",
volume = "91",
pages = "705--708",
journal = "British Journal of Surgery",
issn = "0007-1323",
publisher = "John Wiley and Sons Ltd",
number = "6",

}

TY - JOUR

T1 - Use of donor aorta for arterial reconstruction in paediatric liver and multivisceral transplantation

AU - Nishida, Seigo

AU - Vaidya, A.

AU - Kato, T.

AU - Nakamura, N.

AU - Madariaga, J.

AU - Tzakis, A.

PY - 2004/6/1

Y1 - 2004/6/1

N2 - Background: Arterial reconstruction remains the most important technical issue in paediatric transplantation. The arteries of paediatric donors as well as recipients are small and friable. The aim of this study was to assess the use of the donor aorta as a conduit for arterial reconstruction in paediatric liver and multivisceral transplantation. Methods: Between June 1994 and January 2002, 284 paediatric transplants, including 197 cadaveric liver and multivisceral transplants, were performed in children at this centre. Of these, 41 (20.8 per cent), including nine cadaveric liver transplants and 32 multivisceral transplants, were revascularized by donor aortic reconstruction. Patient demographics, types of donor arterial reconstruction, technical complications and incidence of hepatic artery thrombosis were reviewed. Results: None of the 41 donor aortic reconstructions used in revascularization of paediatric liver and multivisceral transplants thrombosed. There were no bleeding complications and no pseudoaneurysms developed. Conclusion: Arterial reconstruction using donor aorta is a useful option with a low incidence of thrombosis in paediatric transplantation.

AB - Background: Arterial reconstruction remains the most important technical issue in paediatric transplantation. The arteries of paediatric donors as well as recipients are small and friable. The aim of this study was to assess the use of the donor aorta as a conduit for arterial reconstruction in paediatric liver and multivisceral transplantation. Methods: Between June 1994 and January 2002, 284 paediatric transplants, including 197 cadaveric liver and multivisceral transplants, were performed in children at this centre. Of these, 41 (20.8 per cent), including nine cadaveric liver transplants and 32 multivisceral transplants, were revascularized by donor aortic reconstruction. Patient demographics, types of donor arterial reconstruction, technical complications and incidence of hepatic artery thrombosis were reviewed. Results: None of the 41 donor aortic reconstructions used in revascularization of paediatric liver and multivisceral transplants thrombosed. There were no bleeding complications and no pseudoaneurysms developed. Conclusion: Arterial reconstruction using donor aorta is a useful option with a low incidence of thrombosis in paediatric transplantation.

UR - http://www.scopus.com/inward/record.url?scp=2942610558&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2942610558&partnerID=8YFLogxK

U2 - 10.1002/bjs.4550

DO - 10.1002/bjs.4550

M3 - Article

VL - 91

SP - 705

EP - 708

JO - British Journal of Surgery

JF - British Journal of Surgery

SN - 0007-1323

IS - 6

ER -