RT Book, Section
A1 Molmenti, Ernesto Pompeo
A1 McCann-Molmenti, Alexia
A1 Molmenti, Hebe
A1 Sardo Molmenti, Christine L.
A1 Miyara, Santiago J.
A1 de Santibañes, Martin
A1 Cagliani, Joaquin A.
A1 Sotiropoulos, Georgios C.
A1 Radtke, Arnold
A1 Sgourakis, Georgios
A1 Bassan, Pablo César
A1 Figari Bizzotto, Sabina
A1 Morales, Luis Fernando
A1 Nicastro, Jeffrey M.
A1 Coppa, Gene F.
A1 Rilo, Horacio
A1 de Santibañes, Eduardo
A2 Molmenti, Ernesto Pompeo
A2 Santibañes, Martin de
A2 Santibañes, Eduardo de
SR Print(0)
ID 1180111099
T1 Aortic Cannulation in Donors with Distal Aortic and IVC Pathologies and/or Injuries
T2 Liver Transplantation: Operative Techniques and Medical Management
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781260462517
LK accesssurgery.mhmedical.com/content.aspx?aid=1180111099
RD 2023/03/30
AB In  these  instances,  cannulation  of  the  distal  aorta  for  perfusion  with  preservation  fluid  may  not  be  possible  or  can  lead  to  potential  complications  such  as  emboli,  dissections,  and/or  inadequate  flushing.Both  approaches  discussed  here  entail  cannulation  of  the  aorta  for  an  antegrade  perfusion  with  preservation  fluid,  as  opposed  to  the  routine  retrograde  perfusion  encountered  with  cannulation  of  the  distal  aorta  with  backflushing.Antegrade  perfusion  requires  that  flushing  with  preservation  fluid  be  performed  at  the  time  of  cannulation,  since  otherwise  the  organs  will  become  both  ischemic  and  nonperfused.  It  is  also  very  important  to  avoid  air  emboli.In  both  instances,  the  variation  in  technique  applies  only  to  the  initiation  of  perfusion  of  the  organs.  Once  perfusion  is  achieved,  the  routine  procurement  steps  are  followed.Coordination  with  other  procuring  teams  is  essential.