{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:29:23Z","timestamp":1791311363813,"version":"4.3.1"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":2403,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2009,2]]},"abstract":"<jats:sec>\n            <jats:title\/>\n            <jats:p>We looked at the impact of delayed splenic artery occlusion (SAO) on recipients with established small-for-size syndrome (SFSS) after partial graft liver transplantation [either from a living donor (LD) or split from a deceased donor (DD)]. Between 1999 and 2007 we performed a total of 100 partial liver transplantations in adult recipients: 66 LD transplantations and 34 DD split transplantations. Of these, 7 (7%) developed SFSS, diagnosed by the clinical features of cholestasis, coagulopathy, and ascites. Mean graft weight\/recipient weight (GW\/RW) ratio in these 7 recipients was 0.94%. Five of these 7 recipients underwent relaparotomy at a mean of 10 days post-transplantation to rule out a technical complication, and then intraoperative splenic artery ligation was performed. The other 2 recipients were treated radiologically by splenic artery coiling\u2014at 9 and 13 days post-transplantation. Median serum bilirubin at the time of the splenic artery procedure was 20 mg\/dL; by 3 weeks postprocedure this had decreased to 2.5 mg\/dL. Of the 7 recipients with SFSS, 6 improved and eventually obtained normal graft function; 1 recipient did not improve and ultimately underwent retransplantation because of persistent cholestasis and failure to thrive. Delayed SAO represents a potential option for the treatment of recipients with established SFSS after partial liver transplantation.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1002\/lt.21636","type":"journal-article","created":{"date-parts":[[2009,1,28]],"date-time":"2009-01-28T18:45:29Z","timestamp":1233168329000},"page":"163-168","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":51,"title":["Delayed splenic artery occlusion for treatment of established small-for-size syndrome after partial liver transplantation"],"prefix":"10.1097","volume":"15","author":[{"given":"Abhinav","family":"Humar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joy","family":"Beissel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaina","family":"Crotteau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Cohen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Lake","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William D.","family":"Payne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-6-20250330","first-page":"339","article-title":"Split liver transplantation: a reliable approach to expand donor pool.","volume":"4","author":"Yan","year":"2005","journal-title":"Hepatobiliary Pancreat Dis Int"},{"key":"R2-6-20250330","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1111\/j.1432-2277.2006.00424.x","article-title":"Current trends in live liver donation.","volume":"20","author":"Nadalin","year":"2007","journal-title":"Transpl Int"},{"key":"R3-6-20250330","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1111\/j.1600-6143.2006.01601.x","article-title":"Biliary strictures in 130 consecutive right lobe living donor liver transplant recipients: results of a Western center.","volume":"7","author":"Shah","year":"2007","journal-title":"Am J Transplant"},{"key":"R4-6-20250330","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1002\/lt.20693","article-title":"Longterm incidence, risk factors, and management of biliary complications after adult living donor liver transplantation.","volume":"12","author":"Hwang","year":"2006","journal-title":"Liver Transpl"},{"key":"R5-6-20250330","doi-asserted-by":"crossref","first-page":"S26","DOI":"10.1053\/jlts.2003.50197","article-title":"Smallforsize liver syndrome after auxiliary and split liver transplantation: donor selection.","volume":"9","author":"Heaton","year":"2003","journal-title":"Liver Transpl"},{"key":"R6-6-20250330","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1053\/jlts.2001.29033","article-title":"Critical graft size in adulttoadult living donor liver transplantation: impact of the recipients disease.","volume":"7","author":"BenHaim","year":"200","journal-title":"Liver Transpl"},{"key":"R7-6-20250330","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1159\/000090333","article-title":"Hyperperfusion syndrome in smallforsize livers.","volume":"37","author":"Glanemann","year":"2005","journal-title":"Eur Surg Res"},{"key":"R8-6-20250330","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1097\/00000478-200608000-00009","article-title":"Pathophysiologic observations and histopathologic recognition of the portal hyperperfusion or smallforsize syndrome.","volume":"30","author":"Demetris","year":"2006","journal-title":"Am J Surg Pathol"},{"key":"R9-6-20250330","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1097\/01.ccx.0000157080.11117.45","article-title":"The small for size liver syndrome.","volume":"11","author":"Tucker","year":"2005","journal-title":"Curr Opin Crit Care"},{"key":"R10-6-20250330","first-page":"625","article-title":"The impact of splenectomy or splenic artery ligation on the outcome of a living donor adult liver transplantation using a left lobe graft.","volume":"51","author":"Shimada","year":"2004","journal-title":"Hepatogastroenterology"},{"key":"R11-6-20250330","doi-asserted-by":"crossref","first-page":"1699","DOI":"10.1016\/j.transproceed.2007.03.071","article-title":"Smallforsize syndrome secondary to outflow block of the segments V and VIII anastomosessuccessful treatment with transsplenic artery embolization: a case report.","volume":"39","author":"Yan","year":"2007","journal-title":"Transplant Proc"},{"key":"R12-6-20250330","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1002\/lt.20164","article-title":"Endtoside portocaval shunting for a smallforsize graft in living donor liver transplantation.","volume":"10","author":"Takada","year":"2004","journal-title":"Liver Transpl"},{"key":"R13-6-20250330","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1053\/jlts.2002.31654","article-title":"Body surface area and body weight predict total liver volume in Western adults.","volume":"8","author":"Vauthey","year":"2002","journal-title":"Liver Transpl"},{"key":"R14-6-20250330","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1034\/j.1600-6143.2001.10413.x","article-title":"Split liver transplantation for 2 adult recipients: an initial experience.","volume":"1","author":"Humar","year":"2001","journal-title":"Am J Transplant"},{"key":"R15-6-20250330","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1002\/lt.500090619","article-title":"Adult living donor transplantsWhich portion of the liver to use?","volume":"9","author":"Humar","year":"2003","journal-title":"Liver Transpl"},{"key":"R16-6-20250330","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1016\/S0140-6736(03)14230-4","article-title":"Operative morbidity of living liver donors in Japan.","volume":"362","author":"Umeshita","year":"2003","journal-title":"Lancet"},{"key":"R17-6-20250330","doi-asserted-by":"crossref","first-page":"2277","DOI":"10.1016\/j.transproceed.2004.08.036","article-title":"Critical graft size and functional recovery in living donor liver transplantation.","volume":"36","author":"Chui","year":"2004","journal-title":"Transplant Proc"},{"key":"R18-6-20250330","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1016\/S1072-7515(01)00800-6","article-title":"Smallforsize grafts in livingrelated liver transplantation.","volume":"192","author":"Sugawara","year":"2001","journal-title":"J Am Coll Surg"},{"key":"R19-6-20250330","doi-asserted-by":"crossref","first-page":"2605","DOI":"10.1111\/j.1600-6143.2005.01081.x","article-title":"Smallforsize syndrome after partial liver transplantation: definition, mechanisms of disease and clinical implications.","volume":"5","author":"Dahm","year":"2005","journal-title":"Am J Transplant"},{"key":"R20-6-20250330","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1002\/lt.20630","article-title":"Attenuation of acute phase shear stress by somatostatin improves smallforsize liver graft survival.","volume":"12","author":"Xu","year":"2006","journal-title":"Liver Transpl"},{"key":"R21-6-20250330","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1111\/j.1399-0012.2007.00735.x","article-title":"Successful treatment of smallforsize syndrome in adulttoadult livingrelated liver transplantation: single center series.","volume":"21","author":"Gruttadauria","year":"2007","journal-title":"Clin Transplant"}],"container-title":["Liver Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flt.21636","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01445473-200902000-00006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T00:01:55Z","timestamp":1743379315000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01445473-200902000-00006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,2]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2009]]}},"URL":"https:\/\/doi.org\/10.1002\/lt.21636","relation":{},"ISSN":["1527-6465"],"issn-type":[{"value":"1527-6465","type":"print"}],"subject":[],"published":{"date-parts":[[2009,2]]}}}