{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T12:56:05Z","timestamp":1762865765931,"version":"3.38.0"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2011,3,9]],"date-time":"2011-03-09T00:00:00Z","timestamp":1299628800000},"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":[[2011,5]]},"abstract":"<jats:p>Gastaca M, Valdivieso A, Ruiz P, Gonzalez J, Ventoso A, Ortiz de Urbina J. Venous outflow obstruction after orthotopic liver transplantation: use of a breast implant to maintain graft position.\u2028Clin Transplant 2011: 25: E320\u2013E326. \u00a9 2011 John Wiley &amp; Sons A\/S.<\/jats:p><jats:p><jats:bold>Abstract:\u2002<\/jats:bold>Hepatic venous outflow obstruction (HVOO) is a rare complication after orthotopic liver transplantation (OLT) usually related to technical issues or to malposition or kinking of the hepatic graft. When HVOO is diagnosed during the early post\u2010transplant period, surgical options are technically very demanding and outcomes discouraging. Therefore, angioplasty and stent placement have been indicated to avoid a chronic lesion of the graft. Three cases of HVOO after OLT are reported. HVOO was diagnosed during the early post\u2010transplant period and was due to graft malposition in two patients and kinking of the vena cava anastomosis in one. All patients were successfully treated with a 300\u2010cc gel\u2010filled breast implant surgically placed in the right hepatic fossa with the liver graft resting on it. Massive ascites in all three patients disappeared and renal impairment resolved within two\u2003wk post\u2010implant placement. No prosthesis\u2010related complications have been observed after a follow\u2010up ranging from 30 to 58\u2003months. We describe a simple and effective method of maintaining the liver graft in an adequate position to achieve prolonged relief of the outflow obstruction for the whole graft and discuss the advantages of a breast implant over stent placement or the use of different balloon catheters.<\/jats:p>","DOI":"10.1111\/j.1399-0012.2011.01423.x","type":"journal-article","created":{"date-parts":[[2011,3,10]],"date-time":"2011-03-10T03:38:38Z","timestamp":1299728318000},"source":"Crossref","is-referenced-by-count":9,"title":["Venous outflow obstruction after orthotopic liver transplantation: use of a breast implant to maintain graft position"],"prefix":"10.1111","volume":"25","author":[{"given":"Mikel","family":"Gastaca","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9s","family":"Valdivieso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Ruiz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Gonzalez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Ventoso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge Ortiz","family":"de Urbina","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,3,9]]},"reference":[{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198704000-00011"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-0012.2000.140309.x"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-199905150-00003"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-199909150-00009"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.21560"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0012.2005.00431.x"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.tvir.2007.09.018"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(99)70003-5"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000167586.44204.C8"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-3046.2000.00124.x"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002709910031"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.1053\/gast.1996.v111.agast961110564"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2361040327"},{"key":"e_1_2_10_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200211000-00017"},{"key":"e_1_2_10_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.500060219"},{"key":"e_1_2_10_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2005.01161.x"},{"key":"e_1_2_10_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.21667"},{"key":"e_1_2_10_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e318066f0bd"},{"key":"e_1_2_10_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.500050604"},{"key":"e_1_2_10_21_2","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1111\/j.1399-0012.1997.tb00781.x","article-title":"Application of a tissue expander for stabilizing graft position in living\u2010related liver transplantation","volume":"11","author":"Inomata Y","year":"1997","journal-title":"Clin Transplant"},{"key":"e_1_2_10_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800830814"},{"key":"e_1_2_10_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2010.01.048"}],"container-title":["Clinical Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1399-0012.2011.01423.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1399-0012.2011.01423.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T23:59:36Z","timestamp":1741046376000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1399-0012.2011.01423.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,3,9]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,5]]}},"alternative-id":["10.1111\/j.1399-0012.2011.01423.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1399-0012.2011.01423.x","archive":["Portico"],"relation":{},"ISSN":["0902-0063","1399-0012"],"issn-type":[{"type":"print","value":"0902-0063"},{"type":"electronic","value":"1399-0012"}],"subject":[],"published":{"date-parts":[[2011,3,9]]}}}