Do you go on bypass for a liver transplant?

Do you go on bypass for a liver transplant?

The venovenous/portal venous (VVP) bypass technique has generally become obsolete in liver transplantation (LT) today. We evaluated our experience with 163 consecutive LTs that used a VVP bypass. Patients and Methods….

Recipient
Indication for LT
Acute liver failure	20 (12%)
Alcoholic cirrhosis	45 (27%)
HCC	40 (24%)

What is veno venous bypass?

Venovenous bypass (VVB) is a technique that was developed in the 1980s to mitigate untoward hemodynamic effects of complete cross-clamping of the inferior vena cava during liver transplantation (LT). Since the introduction of nonclassic surgical techniques, the interest in using VVB has decreased.

What is VV bypass?

At our institution, veno-veno (V-V) bypass for orthotopic liver transplantation (OLTX) is routinely used in patients weighing more than 35 kg. V-V bypass is accomplished through cannulas surgically placed into the femoral and portal veins for blood drainage and into the axillary vein for blood return.

What is a piggyback liver transplant?

The piggyback technique seeks to simplify the liver transplant by generally obviating the need for VVB by allowing venous return through the IVC. This technique involves full preservation of the recipient IVC with anastomosis of the donor IVC directly to the hepatic veins of the recipient[2,3].

Is portal hypertension painful?

Portal hypertension itself does not cause symptoms, but some of its consequences do. If a large amount of fluid accumulates in the abdomen, the abdomen swells (distends), sometimes noticeably and sometimes enough to make the abdomen greatly enlarged and taut. This distention can be uncomfortable or painful.

What is piggy-back method?

Piggybacking, a second infusion set onto the same intravenous line using a Y-Set (intravenous therapy) “Piggy-back technique”, is a technique in liver transplantation in which the recipient inferior vena cava is preserved.

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