R F Letrinda

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Publications (2)1 Total impact

  • Article: Use of the splenic artery for arterial reconstruction in living donor liver transplantation.
    L A C D'Albuquerque, A M Gonzalez, R F Letrinda, J L M Copstein, F I S Larrea, J M P Mansero, G Peron, M A F Ribeiro, A Oliveira e Silva
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    ABSTRACT: The present study sought to evaluate the possibility of using the splenic artery for arterialization of a living donor liver graft. In the period between August 2004 and April 2006, we performed 31 adult-to-adult living donor liver transplantations. In 27 patients (group A), the right or left hepatic artery was used to arterialize the graft, whereas in the other four cases (group B), we used the recipient splenic artery. The Model for End-stage Liver Disease (MELD) score of the patients averaged 17 (17.2 and 15.2 for groups A and B, respectively) ranging between 7 and 28. We did not observe pancreatitis, splenic infarction, or other complications related to ligation of the splenic artery. Two cases (6.4%) of arterial complication were observed, both in group A patients. The use of the splenic artery is a safe, practical alternative for arterial reconstruction in living donor liver transplantation procedures, when the hepatic artery is not adequate or in cases of portal hypertension with splenomegaly.
    Transplantation Proceedings 01/2008; 39(10):3202-3. · 1.00 Impact Factor
  • Article: Use of the Splenic Artery for Arterial Reconstruction in Living Donor Liver Transplantation
    L.A.C. D’Albuquerque, A.M. Gonzalez, R.F. Letrinda, J.L.M. Copstein, F.I.S. Larrea, J.M.P. Mansero, G. Peron, M.A.F. Ribeiro, A. Oliveira e Silva
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    ABSTRACT: BackgroundThe present study sought to evaluate the possibility of using the splenic artery for arterialization of a living donor liver graft.Patients and MethodsIn the period between August 2004 and April 2006, we performed 31 adult-to-adult living donor liver transplantations. In 27 patients (group A), the right or left hepatic artery was used to arterialize the graft, whereas in the other four cases (group B), we used the recipient splenic artery.ResultsThe Model for End-stage Liver Disease (MELD) score of the patients averaged 17 (17.2 and 15.2 for groups A and B, respectively) ranging between 7 and 28. We did not observe pancreatitis, splenic infarction, or other complications related to ligation of the splenic artery. Two cases (6.4%) of arterial complication were observed, both in group A patients.ConclusionThe use of the splenic artery is a safe, practical alternative for arterial reconstruction in living donor liver transplantation procedures, when the hepatic artery is not adequate or in cases of portal hypertension with splenomegaly.
    Transplantation Proceedings.

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