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 2023/11/29 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.