Hepatic hemodynamic changes during liver transplantation: A review

Figure 2 Flowchart applied in our center for performing graft inflow modulation according to systemic and hepatic hemodynamic parameters in transplant patients with portal hyperperfusion. Technical errors such as hepatic outflow obstruction, hepatic artery kinking, or anastomosis failure should be evaluated repeatedly. After graft inflow modulation (GIM) is performed, the portal vein flow (PVF), portal vein pressure (PVP), and central venous pressure should be re-measured to ensure optimal portal inflow. HAF: Hepatic artery flow; HVPG: Hepatic venous pressure gradient; LW: Liver weight.