{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T11:32:01Z","timestamp":1790163121132,"version":"4.1.0"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2016,12,30]],"date-time":"2016-12-30T00:00:00Z","timestamp":1483056000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1"},{"start":{"date-parts":[[2016,12,30]],"date-time":"2016-12-30T00:00:00Z","timestamp":1483056000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Liver Transpl"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:p>During orthotopic liver transplantation (OLT), clamping of the portal vein induces splanchnic venous congestion and accumulation of noxious compounds. These adverse effects could increase ischemia\/reperfusion injury and subsequently the risk of graft dysfunction, especially for grafts harvested from extended criteria donors (ECDs). Temporary portocaval shunt (TPCS) could prevent these complications. Between 2002 and 2013, all OLTs performed in our center were retrospectively analyzed and a propensity score matching analysis was used to compare the effect of TPCS in 686 patients (343 in each group). Patients in the TPCS group required fewer intraoperative transfusions (median number of packed red blood cells\u20145 versus 6; <jats:italic toggle=\"yes\">P<\/jats:italic>\u2009=\u20090.02; median number of fresh frozen plasma\u20145 versus 6; <jats:italic toggle=\"yes\">P<\/jats:italic>\u2009=\u20090.02); had improvement of postoperative biological parameters (prothrombin time, Factor V, international normalized ratio, alkaline phosphatase, and gamma\u2010glutamyltransferase levels); and showed significant reduction of biliary complications (4.7% versus 10.2%; <jats:italic toggle=\"yes\">P<\/jats:italic>\u2009=\u20090.006). Survival analysis revealed that TPCS improved 3\u2010month graft survival (94.2% versus 88.6%; <jats:italic toggle=\"yes\">P<\/jats:italic>\u2009=\u20090.01) as well as longterm survival of elderly (ie, age\u2009&gt;\u200970 years) donor grafts (<jats:italic toggle=\"yes\">P<\/jats:italic>\u2009=\u20090.02). In conclusion, the use of TPCS should be recommended especially when considering an ECD graft. <jats:italic toggle=\"yes\">Liver Transplantation 23 174\u2013183 2017 AASLD<\/jats:italic>\n                        <\/jats:p>","DOI":"10.1002\/lt.24650","type":"journal-article","created":{"date-parts":[[2016,10,12]],"date-time":"2016-10-12T20:59:15Z","timestamp":1476305955000},"page":"174-183","source":"Crossref","is-referenced-by-count":23,"title":["Benefits of temporary portocaval shunt during orthotopic liver transplantation with vena cava preservation: A propensity score analysis"],"prefix":"10.1097","volume":"23","author":[{"given":"Michel","family":"Rayar","sequence":"first","affiliation":[{"name":"Service de Chirurgie H\u00e9patobiliaire et Digestive,Centre Hospitalier Universitaire Rennes,Rennes,France"},{"name":"INSERM, CIC 1414,Rennes,France"},{"name":"Facult\u00e9 de M\u00e9decine,Universit\u00e9 Rennes 1,Rennes,France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni B.","family":"Levi Sandri","sequence":"additional","affiliation":[{"name":"Service de Chirurgie H\u00e9patobiliaire et Digestive,Centre Hospitalier Universitaire Rennes,Rennes,France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caterina","family":"Cusumano","sequence":"additional","affiliation":[{"name":"Service de Chirurgie H\u00e9patobiliaire et Digestive,Centre Hospitalier Universitaire Rennes,Rennes,France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Locher","sequence":"additional","affiliation":[{"name":"Service de Pharmacologie Clinique et \u00c9pid\u00e9miologique,Centre Hospitalier Universitaire Rennes,Rennes,France"},{"name":"INSERM, CIC 1414,Rennes,France"},{"name":"Facult\u00e9 de M\u00e9decine,Universit\u00e9 Rennes 1,Rennes,France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Houssel\u2010Debry","sequence":"additional","affiliation":[{"name":"Service des Maladies du Foie,Centre Hospitalier Universitaire Rennes,Rennes,France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Camus","sequence":"additional","affiliation":[{"name":"R\u00e9animation M\u00e9dicale,Centre Hospitalier Universitaire Rennes,Rennes,France"},{"name":"INSERM, CIC 1414,Rennes,France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Lombard","sequence":"additional","affiliation":[{"name":"Service de Chirurgie H\u00e9patobiliaire et Digestive,Centre Hospitalier Universitaire Rennes,Rennes,France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronique","family":"Desfourneaux","sequence":"additional","affiliation":[{"name":"Service de Chirurgie H\u00e9patobiliaire et Digestive,Centre Hospitalier Universitaire Rennes,Rennes,France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Lakehal","sequence":"additional","affiliation":[{"name":"Service de Chirurgie H\u00e9patobiliaire et Digestive,Centre Hospitalier Universitaire Rennes,Rennes,France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"Meunier","sequence":"additional","affiliation":[{"name":"Service de Chirurgie H\u00e9patobiliaire et Digestive,Centre Hospitalier Universitaire Rennes,Rennes,France"},{"name":"Facult\u00e9 de M\u00e9decine,Universit\u00e9 Rennes 1,Rennes,France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Sulpice","sequence":"additional","affiliation":[{"name":"Service de Chirurgie H\u00e9patobiliaire et Digestive,Centre Hospitalier Universitaire Rennes,Rennes,France"},{"name":"INSERM, CIC 1414,Rennes,France"},{"name":"Facult\u00e9 de M\u00e9decine,Universit\u00e9 Rennes 1,Rennes,France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karim","family":"Boudjema","sequence":"additional","affiliation":[{"name":"Service de Chirurgie H\u00e9patobiliaire et Digestive,Centre Hospitalier Universitaire Rennes,Rennes,France"},{"name":"INSERM, CIC 1414,Rennes,France"},{"name":"Facult\u00e9 de M\u00e9decine,Universit\u00e9 Rennes 1,Rennes,France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2016,12,30]]},"reference":[{"key":"lt24650-bib-0002-20240115","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1053\/jlts.2003.50105","article-title":"The utility of marginal donors in liver transplantation","volume":"9","year":"2003","journal-title":"Liver Transpl"},{"key":"lt24650-bib-0003-20240115","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1016\/j.jhep.2006.07.016","article-title":"How can we define expanded criteria for liver 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