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Piggyback Technique and Selective Use of Veno‐venous Bypass in Adult Orthotopic Liver Transplantation by K Sudhakar Reddy; Thomas D Johnston; Lee Ann Putnam; Michael Isley; Dinesh Ranjan is a Medicine article available to read on EtoBox.

What is Piggyback Technique and Selective Use of Veno‐venous Bypass in Adult Orthotopic Liver Transplantation about?

## Background: The piggyback technique (pt), with preservation of the cava, is being used more frequently in adult orthotopic liver transplantation (olt). the advantages of pt include hemodynamic stability during the anhepatic phase without a large-volume fluid infusion and obviating the need for veno-venous bypass (vvb). at our center, we changed our practice in july 1997 from the standard technique (st) of olt with routine use of vvb to pt and selective use of vvb. the purpose of the present study was to analyze the results with the two different practices, st-routine vvb versus pt-selective vvb. ## Methods: Forty olts were performed during the period july 1995 july 1997 using st-routine vvb (group i) and 36 during august 1997-december 1998 using pt-selective vvb (group ii). the etiology of liver disease was similar in the two groups, with hepatitis c and alcoholic liver disease accounting for half of the patients in each group. the unos status, age, sex, and percentage of patients with previous upper abdominal surgery were also similar between the two groups. ## Results: In the pt-selective vvb era (group ii), 34/36 patients (94%) underwent olt with pt and vvb was used for 8 (22

Who reads Piggyback Technique and Selective Use of Veno‐venous Bypass in Adult Orthotopic Liver Transplantation?

Author

K Sudhakar Reddy; Thomas D Johnston; Lee Ann Putnam; Michael Isley; Dinesh Ranjan

Publisher

John Wiley and Sons; Wiley (Blackwell Publishing); Blackwell Publishing Inc.; Wiley (ISSN 0902-0063)

Published

2000

Language

EN

Field

Medicine (Health Sciences)