{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:22:20Z","timestamp":1747149740267,"version":"3.40.5"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,12,2]],"date-time":"2022-12-02T00:00:00Z","timestamp":1669939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Variations in graft arterial anatomy can increase the risk of postoperative hepatic arterial thrombosis (HAT), especially in presence of a replaced or accessory right hepatic artery (RHA). We retrospectively analyzed 223 cases of liver transplantations with the presence of an RHA on the graft. Patient outcomes were compared according to the four different reconstruction methods used: (i) the re\u2010implantation of the RHA into the splenic or gastroduodenal artery (<jats:italic>n<\/jats:italic>\u00a0=\u2009106); (ii) the interposition of the superior mesenteric artery (SMA) (<jats:italic>n<\/jats:italic>\u00a0=\u200983); (iii) dual anastomosis (<jats:italic>n<\/jats:italic>\u00a0=\u200924); (iv) use of an aortic patch including the origins of both the SMA and the coeliac trunk (<jats:italic>n<\/jats:italic>\u00a0=\u200910). A competing risk analysis and Inverse Probability Weighting (IPW) were used. We found that the interposition of the SMA method was associated with a significantly lower incidence of HAT, at 4.8% compared to the re\u2010implantation method at 17.9%, dual anastomosis at 12.5%, and aortic patch at 20%, <jats:italic>p<\/jats:italic>\u00a0=\u2009.03. In the competing risk analysis with IPW, the only risk factor for RHA thrombosis was the type of reconstruction. Taking the SMA interposition group as the reference, the sub\u2010hazard ratio (sHR) was 5.05 (CI 95 [1.72; 14.78], <jats:italic>p<\/jats:italic>\u00a0&lt;\u2009.01) for the re\u2010implantation group, sHR\u00a0=\u00a02.37 (CI 95 [0.51; 11.09], <jats:italic>p<\/jats:italic>\u00a0=\u2009.27) for the dual anastomosis group and sHR\u00a0=\u00a02.24 (CI 95 [0.35; 14.33], <jats:italic>p<\/jats:italic>\u00a0=\u2009.40) for the aortic patch group. There were no differences for intraoperative transfusion, hospitalization duration (<jats:italic>p<\/jats:italic>\u00a0=\u2009.37) or incidence of severe complications (<jats:italic>p<\/jats:italic>\u00a0=\u2009.1). The long\u2010term graft (<jats:italic>p<\/jats:italic>\u00a0=\u2009.69) and patient (<jats:italic>p<\/jats:italic>\u00a0=\u2009.52) survival was not different. In conclusion, the SMA interposition method was associated with a lower incidence of RHA thrombosis.<\/jats:p>","DOI":"10.1002\/jhbp.1268","type":"journal-article","created":{"date-parts":[[2022,11,15]],"date-time":"2022-11-15T07:28:19Z","timestamp":1668497299000},"page":"843-850","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of reconstruction methods used during liver transplantation in case of a graft with replaced or accessory right hepatic artery: A retrospective study"],"prefix":"10.1002","volume":"30","author":[{"given":"Dune","family":"Wouters","sequence":"first","affiliation":[{"name":"Department of Surgery, Section of Hepatobiliary Surgery and Liver Transplantation University of Groningen, University Medical Center Groningen  Groningen The Netherlands"},{"name":"Surgical Research Laboratory University of Groningen, University Medical Center Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Blondeau","sequence":"additional","affiliation":[{"name":"CHU Rennes Service de Chirurgie H\u00e9patobiliaire et Digestive  Rennes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"Bos","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Hepatobiliary Surgery and Liver Transplantation University of Groningen, University Medical Center Groningen  Groningen The Netherlands"},{"name":"Surgical Research Laboratory University of Groningen, University Medical Center Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christophe","family":"Camus","sequence":"additional","affiliation":[{"name":"CHU Rennes Service de Maladies Infectieuses et R\u00e9animation M\u00e9dicale  Rennes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Jezequel","sequence":"additional","affiliation":[{"name":"CHU Rennes Service des maladies du foie  Rennes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edouard","family":"Bardou\u2010Jacquet","sequence":"additional","affiliation":[{"name":"CHU Rennes Service des maladies du foie  Rennes France"},{"name":"Univ Rennes, INSERM, INRAE Institut NUMECAN (Nutrition Metabolisms and Cancer)  Rennes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Willemijn S.","family":"van der Plas","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Hepatobiliary Surgery and Liver Transplantation University of Groningen, University Medical Center Groningen  Groningen The Netherlands"},{"name":"Surgical Research Laboratory University of Groningen, University Medical Center Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lianne M.","family":"Nieuwenhuis","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Hepatobiliary Surgery and Liver Transplantation University of Groningen, University Medical Center Groningen  Groningen The Netherlands"},{"name":"Surgical Research Laboratory University of Groningen, University Medical Center Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent E.","family":"de Meijer","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Hepatobiliary Surgery and Liver Transplantation University of Groningen, University Medical Center Groningen  Groningen The Netherlands"},{"name":"Surgical Research Laboratory University of Groningen, University Medical Center Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert J.","family":"Porte","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Hepatobiliary Surgery and Liver Transplantation University of Groningen, University Medical Center Groningen  Groningen The Netherlands"},{"name":"Surgical Research Laboratory University of Groningen, University Medical Center Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3113-2260","authenticated-orcid":false,"given":"Michel","family":"Rayar","sequence":"additional","affiliation":[{"name":"CHU Rennes Service de Chirurgie H\u00e9patobiliaire et Digestive  Rennes France"},{"name":"Univ Rennes, INSERM, INRAE Institut NUMECAN (Nutrition Metabolisms and Cancer)  Rennes 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