{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T11:02:35Z","timestamp":1792148555416,"version":"4.4.0"},"reference-count":8,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,4,19]],"date-time":"2014-04-19T00:00:00Z","timestamp":1397865600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2014,5]]},"abstract":"Abstract<\/jats:title>Undue tension on the donor vessels during organ procurement is associated with intimal dissection, which can form the nidus for the thrombosis of the hepatic artery (HA<\/jats:styled-content>) and graft loss. According to the US OPTN<\/jats:styled-content> database, 143 grafts were discarded in the last 15\u00a0yr due to vascular damage during procurement. The most common technique to expose the supraceliac aorta is dissection between the left lateral segment of the liver and the esophagus\u2013stomach. In obese donors, due to restricted space and in pediatric donors where the vessels are very delicate and this space is very small, the replaced or accessory left HA<\/jats:styled-content>(R\/A LHA<\/jats:styled-content>) is prone to damage if approached conventionally. We describe a technique for the exposure of the supraceliac aorta in which the aorta is approached from the left side behind the gastroesophageal junction that does not require division of the gastrohepatic ligament. From May 2007 to May 2013, 104 liver procurements were performed. Eighty\u2010nine (85.6%) were adults, and 15 (14.4%) were pediatric donors. Twenty\u2010three (22.1%) had R\/A LHA<\/jats:styled-content>. No donor organ suffered any damage. One adult recipient with R\/A LHA<\/jats:styled-content> suffered HA<\/jats:styled-content> thrombosis not related to it. In summary, this technical modification offers improved safety during cadaveric procurement and increases the ease.<\/jats:p>","DOI":"10.1111\/ctr.12360","type":"journal-article","created":{"date-parts":[[2014,3,22]],"date-time":"2014-03-22T14:48:55Z","timestamp":1395499735000},"page":"611-615","source":"Crossref","is-referenced-by-count":5,"title":["Modified technique for aortic cross\u2010clamping during liver donor procurement"],"prefix":"10.1111","volume":"28","author":[{"given":"Chirag S.","family":"Desai","sequence":"first","affiliation":[{"name":"Medstar Georgetown Transplant Institute Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaele","family":"Girlanda","sequence":"additional","affiliation":[{"name":"Medstar Georgetown Transplant Institute Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Hawksworth","sequence":"additional","affiliation":[{"name":"Medstar Georgetown Transplant Institute Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas M.","family":"Fishbein","sequence":"additional","affiliation":[{"name":"Medstar Georgetown Transplant Institute Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,4,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2008.02541.x"},{"key":"e_1_2_8_3_1","unstructured":"2011 Annual Report of the U.S. Organ Procurement and Transplantation Network and the Scientific Registry of Transplant Recipients: Transplant Data 2000\u20132010. Department of Health and Human Services Health Resources and Services Administration Healthcare Systems Bureau Division of Transplantation Rockville MD; United Network for Organ Sharing Richmond VA; University Renal Research and Education Association Ann Arbor MI."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v11.i25.3939"},{"key":"e_1_2_8_5_1","first-page":"223","article-title":"A flexible procedure for multiple cadaveric organ procurement","volume":"158","author":"Starzl TE","year":"1984","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_8_6_1","first-page":"343","article-title":"An improved technique for multiple organ harvesting","volume":"165","author":"Starzl TE","year":"1987","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_8_7_1","first-page":"948","article-title":"Rapid flush technique for donor hepatectomy: safety and efficacy of an improved method of liver recovery for transplantation","volume":"20","author":"Miller C","year":"1988","journal-title":"Transplant Proc"},{"key":"e_1_2_8_8_1","first-page":"37","article-title":"Total abdominal evisceration: an en bloc technique for abdominal organ harvesting","volume":"111","author":"Nakazato PZ","year":"1992","journal-title":"Surgery"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-7216-0118-2.50042-2"}],"container-title":["Clinical Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fctr.12360","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.12360","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T06:44:24Z","timestamp":1695537864000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ctr.12360"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4,19]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2014,5]]}},"alternative-id":["10.1111\/ctr.12360"],"URL":"https:\/\/doi.org\/10.1111\/ctr.12360","archive":["Portico"],"relation":{},"ISSN":["0902-0063","1399-0012"],"issn-type":[{"value":"0902-0063","type":"print"},{"value":"1399-0012","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,4,19]]}}}