23 August 2022: Original Paper
Management of Spontaneous Portosystemic Shunts in 231 Patients Who Underwent Living Donor Liver Transplantation: A Retrospective Study from a Single Center in Nagasaki, Japan
Takashi Hamada ABCDEF , Masaaki Hidaka ACDEF* , Akihiko Soyama ACDF , Takanobu Hara ADF , Hajime Imamura ADF , Hajime Matsushima ADF , Takayuki Tanaka ADF , Tomohiko Adachi ADF , Kengo Kanetaka DF , Susumu Eguchi ADFDOI: 10.12659/AOT.936371
Ann Transplant 2022; 27:e936371
Figure 1 Criteria for spontaneous portosystemic shunts (SPSS) ligation in our departmentFirst, we considered whether postoperative interventional radiology (IVR) for SPSS was possible. If postoperative IVR was impossible, SPSS were ligated during the operation. Next, we observed the hepatopetal flow during liver transplantation (LT). If the hepatopetal flow was poor, we ligated the SPSS. After LT, if the hepatopetal flow was poor, IVR was performed to occlude the SPSS. In case of hepatic encephalopathy, IVR was also performed, even if the hepatopetal flow was sufficient. SPSS was defined as venous communication between the portal and venous systems with a largest diameter of ≥10 mm.