Multivisceral Transplantation: Intraoperative Vascular Access Strategy

Multivisceral transplantation is a complex operation that has been used to replace nonfunctioning intestine and liver with graft organs. The ability to provide hemodynamic monitoring, to rapidly replace blood and other fluids, and to administer medications requires robust vascular access. Multiple previous procedures, prolonged parenteral nutrition, and vascular thrombosis limit accessible sites. Preoperative planning and imaging may reduce vascular injuries and limit delays during preoperative graft ischemia.