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. 2008 Jun 1;10(3):196–203. doi: 10.1080/13651820801953031

Table II. Claimed advantages and disadvantages of using VVB during LTx.

Claimed advantages of using VVB References
 - Maintaining the cerebral flow, especially in FHF cases 9
 - Preserving the cardiac and pulmonary flow 9
 - Maintaining the renal flow and kidney function 49
 - Maintaining hemodynamic stability during the anhepatic phase 9, 27, 34, 84
 - Providing longer anhepatic phase for better surgical performance 9
 - Reduction of intraoperative blood loss 9, 34
 - Improving the clinical outcome 9, 34


Claimed disadvantages of using VVB

 - Pulmonary or air emboli, thrombosis 9, 15, 27
 - No evidence of maintaining normal perfusion of abdominal organs 27
 - No evidence on preserving renal function 38, 39, 49, 55, 83
 - Longer operative and warm ischemia time 42, 83
 - Higher rate of post-reperfusion syndrome 37, 51, 58
 - Hypothermia 15, 85
 - Risk of bleeding due to the hemolysis and fibrinolysis in bypass tubes 35
 - Nerve injury, lymphocele, hematoma, wound infection 9, 15, 27
 - No evidence for improving the clinical outcome 38, 39, 49, 56, 74, 76, 83
 - Higher transplant cost 12, 35