Arterial complications in living donor liver transplantation: Right or left hepatic artery reconstruction, does it differ? A retrospective study

Abstract

epatic artery reconstruction is the most important procedure for liver transplantation, and complications associated with this vascular reconstruction, such as hepatic artery thrombosis or stenosis, may have a significant influence on the recipients’ prognosis (Marubashi et al., 2013). Hepatic artery thrombosis (HAT) is the most severe vascular complication with an incidence ranging from 2 to 9% in adults. Its occurrence after LT increases postoperative morbidity and contribute to subsequent primary graft dysfunction, ischemic biliary complications and long-term graft loss (Herrero et al., 2017). Hepatic artery stenosis (HAS) is an infrequent complication of liver transplant; if left untreated; it can lead to hepatic artery thrombosis with high risk of biliary necrosis and graft loss (Molvar et al., 2019). The purpose of this retrospective study is to evaluate whether the selection of the recipient’s right versus left hepatic artery for hepatic artery reconstruction as the recipient’s inflow artery will influence the chance of Hepatic artery thrombosis or stenosis after LDLT. This is a retrospective study analyzed and evaluated the hospital records of all patients who underwent LDLT at