{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T11:02:06Z","timestamp":1773054126049,"version":"3.50.1"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","license":[{"start":{"date-parts":[[2022,7,17]],"date-time":"2022-07-17T00:00:00Z","timestamp":1658016000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,7,17]],"date-time":"2022-07-17T00:00:00Z","timestamp":1658016000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Liver Transpl"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>In liver transplantation (LT), graft aberrant hepatic arteries (aHAs) frequently require complex arterial reconstructions, potentially increasing the risk of post\u2010operative complications. However, intrahepatic hilar arterial shunts are physiologically present and may allow selective aHA ligation. Thus, we performed a retrospective study from a single\u2010center cohort of 618 deceased donor LTs where a selective reconstruction policy of aHAs was prospectively applied. In the presence of any aHA, the vessel with the largest caliber was first reconstructed. In case of adequate bilobar arterial perfusion assessed on intraparenchymal Doppler ultrasound, the remnant vessel was ligated; otherwise, it was reconstructed. Consequently, outcomes of three patient groups were compared: the \u201cno aHAs\u201d group (<jats:italic toggle=\"yes\">n<\/jats:italic>\u00a0=\u00a0499), the \u201creconstructed aHA\u201d group (<jats:italic toggle=\"yes\">n<\/jats:italic>\u00a0=\u00a025), and the \u201cligated aHA\u201d group (<jats:italic toggle=\"yes\">n<\/jats:italic>\u00a0=\u00a094). Primary endpoint was rate of biliary complications. Only 38.4% of right aHAs and 3.1% of left aHAs were reconstructed. Rates of biliary complications in the no aHA, reconstructed aHA, and ligated aHA groups were 23.4%, 28%, and 20.2% (<jats:italic toggle=\"yes\">p<\/jats:italic>\u00a0=\u00a00.667), respectively. The prevalence rates of primary non\u2010function (<jats:italic toggle=\"yes\">p<\/jats:italic>\u00a0=\u00a00.534), early allograft dysfunction (<jats:italic toggle=\"yes\">p<\/jats:italic>\u00a0=\u00a00.832), and arterial complications (<jats:italic toggle=\"yes\">p<\/jats:italic>\u00a0=\u00a00.271), as well as patient survival (<jats:italic toggle=\"yes\">p<\/jats:italic>\u00a0=\u00a00.266) were comparable among the three groups. Retransplantation rates were 3.8%, 4%, and 5.3% (<jats:italic toggle=\"yes\">p<\/jats:italic>\u00a0=\u00a00.685), respectively. In conclusion, a selective reconstruction policy of aHAs based on Doppler assessment of bilobar intraparenchymal arterial flow did not increase post\u2010operative morbidity and avoided unnecessary and complex arterial reconstructions.<\/jats:p>","DOI":"10.1002\/lt.26536","type":"journal-article","created":{"date-parts":[[2022,6,25]],"date-time":"2022-06-25T00:03:45Z","timestamp":1656115425000},"page":"1876-1887","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Graft aberrant hepatic arteries in deceased donor liver transplantation: The \u201cone liver, one artery\u201d approach"],"prefix":"10.1097","volume":"28","author":[{"given":"Riccardo","family":"Pravisani","sequence":"first","affiliation":[{"name":"Department of HPB Surgery and Liver Transplantation, AP\u2010HP Beaujon Hospital,University of Paris,Clichy,France"},{"name":"Liver\u2010Kidney Transplant Unit, Department of Medicine,University of Udine,Udine,Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ailton","family":"Sepulveda","sequence":"additional","affiliation":[{"name":"Department of HPB Surgery and Liver Transplantation, AP\u2010HP Beaujon Hospital,University of Paris,Clichy,France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenzo","family":"Cocchi","sequence":"additional","affiliation":[{"name":"Department of HPB Surgery and Liver Transplantation, AP\u2010HP Beaujon Hospital,University of Paris,Clichy,France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Estrella","family":"de Mello","sequence":"additional","affiliation":[{"name":"Department of HPB Surgery and Liver Transplantation, AP\u2010HP Beaujon Hospital,University of Paris,Clichy,France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francois","family":"Cauchy","sequence":"additional","affiliation":[{"name":"Department of HPB Surgery and Liver Transplantation, AP\u2010HP Beaujon Hospital,University of Paris,Clichy,France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Safi","family":"Dokmak","sequence":"additional","affiliation":[{"name":"Department of HPB Surgery and Liver Transplantation, AP\u2010HP Beaujon Hospital,University of Paris,Clichy,France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Farges","sequence":"additional","affiliation":[{"name":"Department of HPB Surgery and Liver Transplantation, AP\u2010HP Beaujon Hospital,University of Paris,Clichy,France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francois","family":"Durand","sequence":"additional","affiliation":[{"name":"Hepatology and Liver Intensive Care, AP\u2010HP Beaujon Hospital,University of Paris,Clichy,France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Weiss","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, AP\u2010HP Beaujon Hospital,University of Paris,Clichy,France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federica","family":"Dondero","sequence":"additional","affiliation":[{"name":"Department of HPB Surgery and Liver Transplantation, AP\u2010HP Beaujon Hospital,University of Paris,Clichy,France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2397-4599","authenticated-orcid":false,"given":"Micka\u00ebl","family":"Lesurtel","sequence":"additional","affiliation":[{"name":"Department of HPB Surgery and Liver Transplantation, AP\u2010HP Beaujon Hospital,University of Paris,Clichy,France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2022,7,17]]},"reference":[{"key":"lt26536-bib-0001-20250824","doi-asserted-by":"crossref","first-page":"1954","DOI":"10.1007\/s00268-020-05406-4","article-title":"Impact of hepatic artery variations and reconstructions on the outcome of orthotopic liver 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