Adult-to-Adult Living Donor Liver Transplant: Hemodynamic Evaluation, Prognosis, and Recipient Selection.

•Receiver operating characteristic curve analysis of portal vein thrombosis (PVT) showed area under the curve, 0.701 (95% CI, 0.526-0.876; P = .018); positive predictive value, 0.69; and negative predictive value, 0.62.•Multivariate analysis showed important risk regarding PVT (odds ratio, 6.160; 95% CI, 1.566-24.223; P = .004) and retransplant (odds ratio, 4.452; 95% CI, 0.843-23.503; P = .06).•Better recipient selection without PVT or previous major abdominal surgery, an adequate graft weight-to-recipient weight ratio, and intraoperative temporary portocaval shunt with hemodynamic modulation significantly improve outcomes of adult-to-adult living donor liver transplant.