07 January 2025 : Original article
Arterial Reconstruction Using the Right Gastroepiploic Artery in Living Donor Liver Transplantation: A Single-Center Experience
Takanobu Hara
ABCDEF 1*, Akihiko Soyama CD 1, Hajime Matsushima CD 1, Takashi Hamada BC 1, Ayaka Kinoshita BC 1, Hajime Imamura BC 1, Mampei Yamashita BC 1, Ayaka Satoh B 1, Kazushige Migita B 1, Yuta Kawaguchi B 1, Tomohiko Adachi D 1, Mitsuhisa Takatsuki AE 2, Susumu Eguchi AE 1
DOI: 10.12659/AOT.946135
Ann Transplant 2025; 30:e946135
Table 2 Details of patients with arterial re-reconstruction due to arterial complications.
| Age/Sex | Diagnosis | Artery, initially used | Indication for re-reconstruction | Artery, used for re-reconstruction | Time to salvage (day) | Complications after re-reconstruction | Biliary stricture | Outcome | Follow-up period (month) | |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 60/F | HCV cirrhosis | HA | Intimal dissection | HA | 3 | – | AS | Dead, PTLD | 159.5 |
| 2 | 65/F | HCV cirrhosis | HA | Intimal dissection | RGEA | 23 | HAT | – | Dead, graft failure | 1.1 |
| 3 | 65/F | MASH | HA | Arterial bleeding | RGEA | 6 | – | – | Alive | 7.4 |
| 4 | 65/F | Secondary biliary cirrhosis | HA | HAT | RGEA | 3 | HAT | – | Dead, graft failure | 0.8 |
| 5 | 63/M | HBV cirrhosis, HCC | HA | HAT | RGEA | 10 | – | – | Dead, sepsis | 4.4 |
| 6 | 50/M | HCV cirrhosis, HCC | HA | HAT | RGEA | 19 | – | – | Dead, HCC recurrence | 40.7 |
| 7 | 66/F | PBC | HA | HAT | RGEA | 6 | Anastomotic bleeding | AS | Dead, cerebral hemorrhage | 91.0 |
| 8 | 54/M | HCV cirrhosis, HCC | HA | HAT | RGEA | 2 | – | AS | Alive | 198.8 |
| 9 | 64/F | HCV cirrhosis | RGEA | HAT | RGEA | 2 | – | – | Dead, sudden death | 5.5 |
| 10 | 29/M | PSC | RGEA | HAT | RGEA | 7 | HAT | NAS | Dead, graft failure | 23.8 |
| 11 | 43/F | HCV cirrhosis | RGEA | HAT | RGEA | 4 | – | AS | Alive | 132.4 |
| HCV – hepatitis virus C; HCC – hepatocellular carcinoma; PBC – primary biliary cholangitis; PSC – primary sclerosing cholangitis; HA – hepatic artery; RGEA – right gastroepiploic artery; HAT – hepatic artery thrombosis; AS – anastomotic stricture; NAS – non-anastomotic biliary stricture; PTLD – posttransplant lymphoproliferative disorders. | ||||||||||