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Cited by 272

The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.

Effects of Hemi-Portocaval Shunts For Inflow Modulation on the Outcome of Small-for-Size Grafts in Living Donor Liver Transplantation

Open access
Troisi, Roberto, Ricciardi, Salvatore, Smeets, Peter, Petrovic, Mirko, Van Maele, Georges, Colle, Isabelle, Vlierberghe, Hans Van, Hemptinne, Bernard de·2005·American Journal of Transplantation

Abstract

Graft hyperperfusion in small-for-size grafts (SFSG) is considered the main causal factor of small-for-size syndrome (SFSS). We compared SFSG with a graft-to-recipient body ratio < or =0.8, with and without graft inflow modulation (GIM) by means of a hemi-portocaval shunt (HPCS). Thirteen patients underwent adult-to-adult living donor liver transplantation (AALDLT): G1, n = 5 [4 right livers (RL) and 1 left liver (LL)] without GIM, and G2, n = 8 (4 RL and 4 LL) with GIM. In G2 patients, portal vein flow (PVF) was significantly reduced by HPCS: 190 +/- 70 mL/min/100 g liver in G2 vs. 401 +/- 225 ml/min in G1 (p = 0.002). One- and 6-month post-transplantation graft volume/standard liver volume (GV/SLV) ratio was of 72% and 79.5% in G1; 80% and 101% in G2 (p = ns). SFSS was observed in three G1 recipients (who were retransplanted), but in none of the G2 patients. At 1-year, patient and graft survival was respectively of 40% and 20% in G1, 87.5% and 75% in G2 (p = 0.024 and 0.03). It is concluded that drastic reduction of PVF by means of HPCS improves overall patient and graft survival by averting the occurrence of SFSS. Graft inflow modulation through HPCS reduces the risk of complications when transplanting SFSG in adult recipients.

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Crossref · 10.1111/j.1600-6143.2005.00850.x

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Metadata

Authors
Troisi, R., Ricciardi, S., Smeets, P., Petrovic, M., Van Maele, G., Colle, I., Vlierberghe, H. V., & Hemptinne, B. D.
Venue
American Journal of Transplantation
Publisher
Elsevier BV
Published
2005-06
Volume
5
Issue
6
Pages
1397-1404
ISSN
1600-6135 (ISSN-L)
OpenAlex
W2068243149
Cited by
272
References
20
FWCI
12.35
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Effects of Hemi-Portocaval Shunts For Inflow Modulation on the Outcome of Small-for-Size Grafts in Living Donor Liver Transplantation. https://app.cochat.ai/papers/10.1111/j.1600-6143.2005.00850.x
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Troisi, R., Ricciardi, S., Smeets, P., Petrovic, M., Van Maele, G., Colle, I., Vlierberghe, H. V., & Hemptinne, B. D. (2005). Effects of Hemi-Portocaval Shunts For Inflow Modulation on the Outcome of Small-for-Size Grafts in Living Donor Liver Transplantation. American Journal of Transplantation. https://doi.org/10.1111/j.1600-6143.2005.00850.x

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