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Abstract
Living donor liver transplantation (LDLT) has been increasingly embraced around the world as an important strategy to address the shortage of deceased donor livers. The aim of this guideline, approved by the International Liver Transplantation Society (ILTS), is to provide a collection of expert opinions, consensus, and best practices surrounding LDLT. Recommendations were developed from an analysis of the National Library of Medicine living donor transplantation indexed literature using the Grading of Recommendations Assessment, Development and Evaluation methodology. Writing was guided by the ILTS Policy on the Development and Use of Practice Guidelines (www.ilts.org). Intended for use by physicians, these recommendations support specific approaches to the diagnostic, therapeutic, and preventive aspects of care of living donor liver transplant recipients.
Recommendations for Hemodynamic and Size Considerations
Monitoring of the portal vein and hepatic artery hemodynamics are highly recommended for the early diagnosis, prevention and management of SFSS.
(Class 1, level B)
Portal inflow modulation by splenic artery ligation/embolization or other portosystemic shunts is effective in the prevention and treatment of SFSS.
(Class 1, level B)
