Gabriel Garcia

Publication Details

  • ORTHOTOPIC LIVER-TRANSPLANTATION WITH SELECTIVE USE OF VENOVENOUS BYPASS Kuo, P. C., Alfrey, E. J., Garcia, G., Haddow, G., Dafoe, D. C. CAHNERS PUBL CO. 1995: 671-675

    Abstract:

    To determine the utility of selective use of venovenous bypass (VVB), an algorithm based upon hemodynamic criteria was instituted at Stanford University Medical Center: the bypass was used if the systolic blood pressure decreased below 100 mm Hg with a trial of caval and portal clamping.Eleven consecutive patients underwent orthotopic liver transplantation (OLT) with use of VVB on a selective basis; using the hemodynamic exclusion criteria, none required VVB. A group of 20 patients undergoing OLT with VVB served as historical controls.Overall patient and graft survival were identical in both groups (75%). Avoidance of VVB decreased operative and warm ischemia time and decreased peak transaminase and total bilirubin values, but increased rates of intraoperative blood loss. However, the absolute numbers of blood products administered were not different between groups.Selective use of VVB for OLT does not incur increased morbidity or mortality. Potential advantages include cost savings with decreased operative and anesthetic time.

    View details for Web of Science ID A1995TH94200031

    View details for PubMedID 7492024

Stanford Medicine Resources:

Footer Links: