Characterization of the middle hepatic artery and its relevance to living donor liver transplantation
In comparison with the left and right hepatic arteries, there is a relative lack of information on the middle hepatic artery (MHA). In this study, data obtained by multidetector computed tomography from 145 patients were studied to evaluate anatomical variations of the MHA, a hilar artery that prima...
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Veröffentlicht in: | Liver transplantation 2010-06, Vol.16 (6), p.736-741 |
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creator | Wang, Shaofa He, Xiaoshun Li, Ziping Peng, Zhenpeng Tam, Nga Lei Sun, Canhui Hu, Anbin Huang, Jiefu |
description | In comparison with the left and right hepatic arteries, there is a relative lack of information on the middle hepatic artery (MHA). In this study, data obtained by multidetector computed tomography from 145 patients were studied to evaluate anatomical variations of the MHA, a hilar artery that primarily supplies hepatic segment 4. An MHA was present in 103 (71%) of the subjects. In livers that had a replaced left hepatic artery, the MHA originated from the right hepatic artery; in livers that had a replaced right hepatic artery, it originated from the left hepatic artery. It always arose directly or indirectly from the common hepatic artery, from which the gastroduodenal artery also arose. We classified MHAs into 5 types according to the anatomical variations of the origin. This classification may have major relevance to modern surgical practice related to living donor liver transplantation (LDLT). The new classification of hepatic arterial anatomy may enhance the acquisition of further knowledge on arterial development, and its application may favorably influence the outcome of LDLT. Liver Transpl 16:736‐741, 2010. © 2010 AASLD. |
doi_str_mv | 10.1002/lt.22082 |
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In this study, data obtained by multidetector computed tomography from 145 patients were studied to evaluate anatomical variations of the MHA, a hilar artery that primarily supplies hepatic segment 4. An MHA was present in 103 (71%) of the subjects. In livers that had a replaced left hepatic artery, the MHA originated from the right hepatic artery; in livers that had a replaced right hepatic artery, it originated from the left hepatic artery. It always arose directly or indirectly from the common hepatic artery, from which the gastroduodenal artery also arose. We classified MHAs into 5 types according to the anatomical variations of the origin. This classification may have major relevance to modern surgical practice related to living donor liver transplantation (LDLT). The new classification of hepatic arterial anatomy may enhance the acquisition of further knowledge on arterial development, and its application may favorably influence the outcome of LDLT. Liver Transpl 16:736‐741, 2010. © 2010 AASLD.</description><identifier>ISSN: 1527-6465</identifier><identifier>EISSN: 1527-6473</identifier><identifier>DOI: 10.1002/lt.22082</identifier><identifier>PMID: 20517907</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Aged ; Female ; Hepatic Artery - abnormalities ; Hepatic Artery - anatomy & histology ; Hepatic Artery - diagnostic imaging ; Hepatic Artery - surgery ; Humans ; Liver - blood supply ; Liver - surgery ; Liver Transplantation ; Living Donors ; Male ; Middle Aged ; Retrospective Studies ; Tomography, Spiral Computed</subject><ispartof>Liver transplantation, 2010-06, Vol.16 (6), p.736-741</ispartof><rights>Copyright © 2010 American Association for the Study of Liver Diseases</rights><rights>(c) 2010 AASLD.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3542-f5c87308f64a36432ad6b88bcc152cd9cc9b03a1120fb22b38a3c9b6966cd86f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flt.22082$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flt.22082$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1413,27906,27907,45556,45557</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20517907$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Shaofa</creatorcontrib><creatorcontrib>He, Xiaoshun</creatorcontrib><creatorcontrib>Li, Ziping</creatorcontrib><creatorcontrib>Peng, Zhenpeng</creatorcontrib><creatorcontrib>Tam, Nga Lei</creatorcontrib><creatorcontrib>Sun, Canhui</creatorcontrib><creatorcontrib>Hu, Anbin</creatorcontrib><creatorcontrib>Huang, Jiefu</creatorcontrib><title>Characterization of the middle hepatic artery and its relevance to living donor liver transplantation</title><title>Liver transplantation</title><addtitle>Liver Transpl</addtitle><description>In comparison with the left and right hepatic arteries, there is a relative lack of information on the middle hepatic artery (MHA). In this study, data obtained by multidetector computed tomography from 145 patients were studied to evaluate anatomical variations of the MHA, a hilar artery that primarily supplies hepatic segment 4. An MHA was present in 103 (71%) of the subjects. In livers that had a replaced left hepatic artery, the MHA originated from the right hepatic artery; in livers that had a replaced right hepatic artery, it originated from the left hepatic artery. It always arose directly or indirectly from the common hepatic artery, from which the gastroduodenal artery also arose. We classified MHAs into 5 types according to the anatomical variations of the origin. This classification may have major relevance to modern surgical practice related to living donor liver transplantation (LDLT). The new classification of hepatic arterial anatomy may enhance the acquisition of further knowledge on arterial development, and its application may favorably influence the outcome of LDLT. Liver Transpl 16:736‐741, 2010. © 2010 AASLD.</description><subject>Adult</subject><subject>Aged</subject><subject>Female</subject><subject>Hepatic Artery - abnormalities</subject><subject>Hepatic Artery - anatomy & histology</subject><subject>Hepatic Artery - diagnostic imaging</subject><subject>Hepatic Artery - surgery</subject><subject>Humans</subject><subject>Liver - blood supply</subject><subject>Liver - surgery</subject><subject>Liver Transplantation</subject><subject>Living Donors</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Tomography, Spiral Computed</subject><issn>1527-6465</issn><issn>1527-6473</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kLtOwzAUhi0EoqUg8QTIGywpviROMqKKm1SJpcyWYzvUyImL7RaVp8dtSjemc9GnT-f8AFxjNMUIkXsbp4SgipyAMS5ImbG8pKfHnhUjcBHCJ0IYFzU6ByOCClzWqBwDPVsKL2TU3vyIaFwPXQvjUsPOKGU1XOpVWksofEK2UPQKmhig11ZvRC81jA5aszH9B1Sud343aA-jF31YWdHHvfQSnLXCBn11qBPw_vS4mL1k87fn19nDPJO0yEnWFrIqKapalgvKckqEYk1VNVKmT6SqpawbRAXGBLUNIQ2tBE0rVjMmVcVaOgG3g3fl3ddah8g7E6S26RDt1oGXlGLCWFUk8m4gpXcheN3ylTed8FuOEd9lym3k-0wTenOQrptOqyP4F2ICsgH4NlZv_xXx-WIQ_gLQAYDp</recordid><startdate>201006</startdate><enddate>201006</enddate><creator>Wang, Shaofa</creator><creator>He, Xiaoshun</creator><creator>Li, Ziping</creator><creator>Peng, Zhenpeng</creator><creator>Tam, Nga Lei</creator><creator>Sun, Canhui</creator><creator>Hu, Anbin</creator><creator>Huang, Jiefu</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201006</creationdate><title>Characterization of the middle hepatic artery and its relevance to living donor liver transplantation</title><author>Wang, Shaofa ; He, Xiaoshun ; Li, Ziping ; Peng, Zhenpeng ; Tam, Nga Lei ; Sun, Canhui ; Hu, Anbin ; Huang, Jiefu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3542-f5c87308f64a36432ad6b88bcc152cd9cc9b03a1120fb22b38a3c9b6966cd86f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Female</topic><topic>Hepatic Artery - abnormalities</topic><topic>Hepatic Artery - anatomy & histology</topic><topic>Hepatic Artery - diagnostic imaging</topic><topic>Hepatic Artery - surgery</topic><topic>Humans</topic><topic>Liver - blood supply</topic><topic>Liver - surgery</topic><topic>Liver Transplantation</topic><topic>Living Donors</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Tomography, Spiral Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Shaofa</creatorcontrib><creatorcontrib>He, Xiaoshun</creatorcontrib><creatorcontrib>Li, Ziping</creatorcontrib><creatorcontrib>Peng, Zhenpeng</creatorcontrib><creatorcontrib>Tam, Nga Lei</creatorcontrib><creatorcontrib>Sun, Canhui</creatorcontrib><creatorcontrib>Hu, Anbin</creatorcontrib><creatorcontrib>Huang, Jiefu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Liver transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Shaofa</au><au>He, Xiaoshun</au><au>Li, Ziping</au><au>Peng, Zhenpeng</au><au>Tam, Nga Lei</au><au>Sun, Canhui</au><au>Hu, Anbin</au><au>Huang, Jiefu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characterization of the middle hepatic artery and its relevance to living donor liver transplantation</atitle><jtitle>Liver transplantation</jtitle><addtitle>Liver Transpl</addtitle><date>2010-06</date><risdate>2010</risdate><volume>16</volume><issue>6</issue><spage>736</spage><epage>741</epage><pages>736-741</pages><issn>1527-6465</issn><eissn>1527-6473</eissn><abstract>In comparison with the left and right hepatic arteries, there is a relative lack of information on the middle hepatic artery (MHA). In this study, data obtained by multidetector computed tomography from 145 patients were studied to evaluate anatomical variations of the MHA, a hilar artery that primarily supplies hepatic segment 4. An MHA was present in 103 (71%) of the subjects. In livers that had a replaced left hepatic artery, the MHA originated from the right hepatic artery; in livers that had a replaced right hepatic artery, it originated from the left hepatic artery. It always arose directly or indirectly from the common hepatic artery, from which the gastroduodenal artery also arose. We classified MHAs into 5 types according to the anatomical variations of the origin. This classification may have major relevance to modern surgical practice related to living donor liver transplantation (LDLT). The new classification of hepatic arterial anatomy may enhance the acquisition of further knowledge on arterial development, and its application may favorably influence the outcome of LDLT. Liver Transpl 16:736‐741, 2010. © 2010 AASLD.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>20517907</pmid><doi>10.1002/lt.22082</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Female Hepatic Artery - abnormalities Hepatic Artery - anatomy & histology Hepatic Artery - diagnostic imaging Hepatic Artery - surgery Humans Liver - blood supply Liver - surgery Liver Transplantation Living Donors Male Middle Aged Retrospective Studies Tomography, Spiral Computed |
title | Characterization of the middle hepatic artery and its relevance to living donor liver transplantation |
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