{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:39:41Z","timestamp":1753879181866,"version":"3.41.2"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T00:00:00Z","timestamp":1600732800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Recipient cava may be unavailable for outflow reconstruction in some children undergoing liver transplantation (PLT) due to caval agenesis, tumor, or fibrotic caval occlusion. Non\u2010standard hepatic venous reconstruction (NHVR) with a direct veno\u2010caval anastomosis or neo\u2010cava reconstruction is necessary in such cases. Retrospective review of all PLT needing NHVR performed in our unit from January 2010 to September 2019 was performed. Outcomes of this group were compared to a 2:1 matched control group who underwent transplantation with standard piggyback technique. Fifteen children (4.9%) of 304 PLT recipients underwent NHVR. Caval agenesis in biliary atresia (n\u00a0=\u00a05, 33%) and hepatoblastoma infiltrating the cava (n\u00a0=\u00a04, 27%) were the commonest indications. Ten children had neo\u2010cava reconstruction, while 5 had direct anastomosis to the supra\u2010hepatic caval cuff or right atrium. One child had developed neo\u2010cava thrombosis without graft venous outflow obstruction in the post\u2010operative period. There was no significant difference in major morbidity, need for re\u2010operation (20% vs 16.7%; <jats:italic>P<\/jats:italic>\u00a0=\u00a01.00), hospital stay (24\u00a0days, vs 21\u00a0days; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.32), graft &amp; patient survival among the study and control groups. Absent or inadequate recipient cava during PLT with a partial liver graft can be safely managed with technical modifications. Results equivalent to standard piggyback implantation can be achieved.<\/jats:p>","DOI":"10.1111\/petr.13834","type":"journal-article","created":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T13:09:59Z","timestamp":1600780199000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Non\u2010standard hepatic venous reconstruction in the setting of absent inferior vena cava in partial graft pediatric liver transplantation\u2013A matched retrospective cohort study"],"prefix":"10.1111","volume":"25","author":[{"given":"Pilar","family":"Leal\u2010Leyte","sequence":"first","affiliation":[{"name":"Institute of Liver Disease and Transplantation Dr. Rela Institute &amp; Medical Centre  Chennai India"},{"name":"Liver Transplant Study Group Mexico Hospital Angeles Acoxpa  Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8114-2523","authenticated-orcid":false,"given":"Joseph","family":"Valamparampil","sequence":"additional","affiliation":[{"name":"Institute of Liver Disease and Transplantation Dr. Rela Institute &amp; Medical Centre  Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ravikumar","family":"Thambithurai","sequence":"additional","affiliation":[{"name":"Institute of Liver Disease and Transplantation Dr. Rela Institute &amp; Medical Centre  Chennai India"},{"name":"Bharath Institute of Higher Education &amp; Research  Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naresh P.","family":"Shanmugam","sequence":"additional","affiliation":[{"name":"Institute of Liver Disease and Transplantation Dr. Rela Institute &amp; Medical Centre  Chennai India"},{"name":"Bharath Institute of Higher Education &amp; Research  Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7152-0546","authenticated-orcid":false,"given":"Mettu Srinivas","family":"Reddy","sequence":"additional","affiliation":[{"name":"Institute of Liver Disease and Transplantation Dr. Rela Institute &amp; Medical Centre  Chennai India"},{"name":"Bharath Institute of Higher Education &amp; Research  Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Rela","sequence":"additional","affiliation":[{"name":"Institute of Liver Disease and Transplantation Dr. Rela Institute &amp; Medical Centre  Chennai India"},{"name":"Bharath Institute of Higher Education &amp; Research  Chennai India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,22]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"986","article-title":"Liver transplantation with preservation of the inferior vena cava and \u2018piggyback\u2019 reimplantation of the liver","volume":"48","author":"Meunier B","year":"1994","journal-title":"Ann Chir"},{"key":"e_1_2_9_3_1","first-page":"14","article-title":"Liver transplantation in children with biliary atresia and polysplenia syndrome","volume":"16","author":"Broniszczak D","year":"2011","journal-title":"Ann Transplant"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2007.11.027"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-200201150-00017"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2006.00516.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(95)90455-7"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2010.02.045"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2006.01505.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2015.04.019"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002847"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.25440"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1432-2277.1997.tb00728.x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.14701\/ahbps.2020.24.1.72"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1053\/jlts.2001.22760"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2008.01059.x"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.12191"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.13409"}],"container-title":["Pediatric Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.13834","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/petr.13834","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.13834","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T13:43:02Z","timestamp":1693662182000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/petr.13834"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,22]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1111\/petr.13834"],"URL":"https:\/\/doi.org\/10.1111\/petr.13834","archive":["Portico"],"relation":{},"ISSN":["1397-3142","1399-3046"],"issn-type":[{"type":"print","value":"1397-3142"},{"type":"electronic","value":"1399-3046"}],"subject":[],"published":{"date-parts":[[2020,9,22]]},"assertion":[{"value":"2020-05-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13834"}}