Methods of venovenous bypass during liver transplantation in high-risk surgical patients (a literature review)
https://doi.org/10.15825/1995-1191-2026-1-69-76
Abstract
Background. The technique of redirecting blood flow from the inferior vena cava (IVC) and portal vein during liver transplantation (LT) offers several advantages, the most important of which is the prevention of intraoperative hypoperfusion-related complications.
Materials and methods. A literature search was performed in the Scopus, PubMed, and Russian Science Citation Index (RSCI) databases using the following keywords: «liver bypass», «liver transplantation with venovenous bypass/shunting,» «assisted circulation during liver surgery,» «assisted circulation during liver transplantation», and «history of transplantology» from the early 1960s through 2025 were considered. In total, 162 articles from Russian and foreign journals were analyzed, of which 44 met the inclusion criteria and were included in the review.
Results. An analysis of Russian and foreign literature reveals a unified concept regarding the use of venovenous bypass (VVB) systems, as well as the general advantages and limitations of existing techniques. VVB remains a relevant method for maintaining hemodynamic stability and improving postoperative outcomes in liver transplant recipients. Particular attention is given to a novel system and technique for performing VVB that incorporates an oxygenator/heat exchanger and a venous reservoir, allowing the simultaneous use of continuous renal replacement therapy (CRRT). Modern cardiopulmonary bypass techniques are characterized by the creation of optimal conditions for surgical intervention, ensuring a high level of patient safety throughout the procedure.
About the Authors
D. M. Bondarenko
Shumakov National Medical Research Center of Transplantology and Artificial Organs
Russian Federation
Russian Federation
Denis Bondarenko
1, Shchukinskaya str., Moscow, 123182
Phone: (903) 274-39-57
A. R. Monakhov
Shumakov National Medical Research Center of Transplantology and Artificial Organs; Sechenov University
Russian Federation
Russian Federation
Moscow
S. I. Zubenko
Shumakov National Medical Research Center of Transplantology and Artificial Organs
Russian Federation
Russian Federation
Moscow
M. A. Boldyrev
Shumakov National Medical Research Center of Transplantology and Artificial Organs
Russian Federation
Russian Federation
Moscow
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For citations:
Bondarenko D.M., Monakhov A.R., Zubenko S.I., Boldyrev M.A. Methods of venovenous bypass during liver transplantation in high-risk surgical patients (a literature review). Russian Journal of Transplantology and Artificial Organs. 2026;28(1):69-76. (In Russ.) https://doi.org/10.15825/1995-1191-2026-1-69-76
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