FIELD: medicine.
SUBSTANCE: immediately after starting the blood flow in the transplanted liver, volumetric blood flow in the hepatic artery (HA VBF) and the portal vein (PV VBF) is determined, if HA VBF is less than 100 ml/min, paravasal tissue infiltration by papaverine, hepatic artery expansion by Fogarty probe, gastroduodenal artery ligation are performed. Then the transplant perfusion is evaluated with perfusion index (PI) calculation by the original formula. At the PI value less than 0.13, splenic artery ligation is performed.
EFFECT: method provides an indication of the whole liver perfusion, thus making it possible to prevent both HA thrombosis and ischemic complications.
3 ex, 16 tbl
| Title | Year | Author | Number |
|---|---|---|---|
| METHOD OF PREVENTING ISCHEMIC COMPLICATIONS IN POST-TRANSPLANTATION PERIOD IN ORTHOTOPIC LIVER TRANSPLANTATION | 2020 |
|
RU2723465C1 |
| METHOD FOR PREVENTION OF HEPATIC ARTERY THROMBOSIS IN CADAVERIC LIVER TRANSPLANT | 2014 |
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| METHOD FOR ASSESSING DONOR LIVER | 2014 |
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| METHOD FOR PREDICTING THE RISK OF EARLY CADAVERIC LIVER TRANSPLANT DYSFUNCTION | 2021 |
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| INVASIVE TRANSFUSION PERFUSION DETECTION METHOD | 2018 |
|
RU2704096C1 |
| METHOD FOR RECONSTRUCTING VENOUS CIRCULATION IN A TRANSPLANT AT ORTHOTOPIC HEPATIC TRANSFER | 2006 |
|
RU2312610C1 |
| METHOD FOR HOMOTOPIC TRANSPLANTATION OF CADAVER LIVER | 2013 |
|
RU2537768C2 |
| METHOD OF RECOVERING BLOOD CIRCULATION IN LIVER TRANSPLANTATION IN ABNORMAL STRUCTURE OF ARTERIAL BED OF LIVER TRANSPLANT | 2018 |
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RU2691525C1 |
| METHOD OF TREATING THROMBOSIS AND STENOSIS OF ARTERIAL ANASTOMOSIS AFTER LIVER TRANSPLANTATION | 2020 |
|
RU2736905C1 |
| METHOD FOR TREATING COMPLICATIONS CAUSED BY A TOTAL DISCHARGE OF BLOOD FROM THE PORTAL SYSTEM INTO THE INFERIOR VENA CAVA IN CHILDREN UNDERGOING SIDE-TO-SIDE SPLENORENAL SHUNTING OR SPLENOSUPRENAL SHUNTING FOR PORTAL HYPERTENSION | 2022 |
|
RU2789284C1 |
