Abstract
BACKGROUND: Poor initial graft function secondary to reperfusion remains a major problem in liver transplantation. A new technique of reperfusion was introduced in our center and evaluated in a retrospective study covering the last 6 years. METHODS: Seventy-nine liver transplantations were performed by piggyback technique with retrograde reperfusion via the caval vein and antegrade reperfusion via the portal vein. RESULTS: Sixty-eight out of 74 patients (91.9%) were alive and well at day 8 after LTX. On day 1 after liver transplantation, mean aspartate aminotransferase was 526 U/L and on day 8 it was 48 U/L. Except in the 3 patients presenting with hepatic artery thrombosis, primary nonfunction or poor early graft function did not occur. A postreperfusion syndrome was observed in 3.6%. CONCLUSIONS: After retrograde reperfusion, low postoperative liver enzyme values and good initial liver function can be observed. Furthermore, hemodynamic disturbances were uncommon.
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