{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T05:33:03Z","timestamp":1773811983067,"version":"3.50.1"},"reference-count":41,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T00:00:00Z","timestamp":1758153600000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hepatic artery (HA) injury during liver procurement is a significant concern in liver transplantation (LT). This study assessed its frequency and impact in deceased donor LT (DDLT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a single\u2010center cohort study of adults who underwent DDLT from 2010 to 2019. HA injury was defined as the section or ligation of arterial branches supplying the graft. Recipients, donors\u2019 characteristics and outcomes of LTs using grafts with HA injury (group 1,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a035) were compared to LTs using grafts without HA injury (group 2,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0677). A propensity score matching (PSM) was applied. The primary endpoint was 90\u2010day hepatic artery thrombosis (HAT); secondary endpoints included major biliary complications, retransplantation, patient, and graft\u2010survival.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      HA injury occurred in 4.9% of grafts. Aberrant HA anatomy was an independent predictive factor of HA injury (OR\u00a0=\u00a08.1 [3.7\u201317.9],\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.0001). Arterial reconstruction was required in 53.8% of injured grafts, while 23% had lateral sutures and 23% required no reconstruction. Arterial ischemia time was longer in group 1 (50\u00a0min [42\u201367] vs. 43\u00a0min [35\u201356];\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.007). At 90\u2010day, HAT (2.9%\u00a0vs. 0.7%;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.26), major biliary complications (5.7%\u00a0vs. 7.2%, p&gt;0.99) and retransplantation rates (2.9 % vs. 1%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.33) were similar. After PSM, theses outcomes remained comparable. The 5\u2010year patient (74.3%\u00a0vs. 78.3 %,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.77) and graft\u2010survival (70.2%\u00a0vs. 75.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.78) were also similar.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>HA injury during procurement was rare and did not impact mid\u2010 or long\u2010term LT outcomes, supporting a \u201cnon\u2010restrictive graft policy\u201d regarding grafts with HA injury.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70323","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T15:22:12Z","timestamp":1758208932000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Liver Transplantation Using Allografts With Hepatic Artery Injury During Procurement: A Propensity Score\u2010Matched Analysis of Outcomes"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8175-337X","authenticated-orcid":false,"given":"Florence","family":"Jeune","sequence":"first","affiliation":[{"name":"Department of Digestive Hepato\u2010Biliary and Pancreatic Surgery and Liver Transplantation AP\u2010HP Piti\u00e9\u2010Salp\u00eatri\u00e8re Hospital  Paris France"},{"name":"Sorbonne Universit\u00e9  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chetana","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Digestive Hepato\u2010Biliary and Pancreatic Surgery and Liver Transplantation AP\u2010HP Piti\u00e9\u2010Salp\u00eatri\u00e8re Hospital  Paris France"},{"name":"Sorbonne Universit\u00e9  Paris France"},{"name":"Research Unit Universit\u00e9 De Picardie\u2010Jules Verne  Amiens France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c9ric","family":"Savier","sequence":"additional","affiliation":[{"name":"Department of Digestive Hepato\u2010Biliary and Pancreatic Surgery and Liver Transplantation AP\u2010HP Piti\u00e9\u2010Salp\u00eatri\u00e8re Hospital  Paris France"},{"name":"Sorbonne Universit\u00e9  Paris France"},{"name":"Centre De Recherche de Saint\u2010Antoine (CRSA) INSERM  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9565-7264","authenticated-orcid":false,"given":"Claire","family":"Goumard","sequence":"additional","affiliation":[{"name":"Department of Digestive Hepato\u2010Biliary and Pancreatic Surgery and Liver Transplantation AP\u2010HP Piti\u00e9\u2010Salp\u00eatri\u00e8re Hospital  Paris France"},{"name":"Sorbonne Universit\u00e9  Paris France"},{"name":"Centre De Recherche de Saint\u2010Antoine (CRSA) INSERM  Paris 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