Abstract:Donation after circulatory death liver transplantation (DCD-LT) remains a curative treatment for end-stage liver disease. Variant hepatic arteries are frequently encountered during transplantation, and inadequate management may result in localized ischemia and graft dysfunction. Precise handling of these variations remains a critical determinant of surgical success. This review summarizes anatomical classifications based on Michels' typology, highlights the value of imaging modalities in preoperative evaluation and intraoperative decision-making, and outlines current surgical approaches. Particular emphasis is placed on standardized strategies for arterial reconstruction in complex variations. Future research perspectives are also proposed, aiming to optimize assessment and management of variant hepatic arteries in DCD-LT.