Document Detail


A solution to organ shortage: vascular reconstructions for pancreas transplantation.
MedLine Citation:
PMID:  16504723     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Multiorgan harvesting (MOH) accounts for approximately 40% of all organ procurements in Poland. Simultaneous procurement of the pancreas and liver necessitates division of the vessels supplying both organs. Therefore, reconstruction of the pancreas vasculature is mandatory for proper function of the transplanted organ. The aim of this study was to present various methods of vascular reconstruction to prepare the pancreas for transplantation. Between January 1999 and April 2005, among 42 whole pancreas transplantations, 35 came from MOH necessitating arterial reconstruction. In 32 cases, the splenic artery (SA) and superior mesenteric artery (SMA) were sewn into a single trunk using the common iliac arterial bifurcation. Occasionally, the iliac Y-graft was unsuitable for vascular reconstruction due to atherosclerosis or iatrogenic injury. Therefore, the SA was anastomosed to the side of the SMA in two cases. In one case we utilized the brachiocephalic trunk bifurcation. Portal vein elongation employed an external iliac vein procured from the donor in all 35 cases. Good perfusion was achieved in all transplanted pancreata. During the early follow-up period, two venous and one arterial thromboses were noted. No negative effects of pancreatic vessel reconstruction were observed in postoperative graft function. Reconstruction of the pancreas vasculature did not affect the long-term function of the allograft while significantly increasing the available donor organ pool.
Authors:
Z Gałazka; T Grochowiecki; S Nazarewski; O Rowiński; W Chudziński; K Pietrasik; T Jakimowicz; B Solonynko; I Nawrot; A Kański; J Szmidt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Transplantation proceedings     Volume:  38     ISSN:  0041-1345     ISO Abbreviation:  Transplant. Proc.     Publication Date:    2006 Jan-Feb
Date Detail:
Created Date:  2006-02-28     Completed Date:  2006-05-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243532     Medline TA:  Transplant Proc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  273-5     Citation Subset:  IM    
Affiliation:
Department of General, Vascular and Transplant Surgery, Warsaw Medical University, ul. Banacha 1a, 02-097 Warsaw, Poland. zgalazka@amwaw.edu.pl
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MeSH Terms
Descriptor/Qualifier:
Humans
Iliac Artery / surgery*
Mesenteric Arteries / surgery
Pancreas / blood supply*
Pancreas Transplantation / methods*
Reconstructive Surgical Procedures / methods*
Splenic Artery / surgery*
Tissue Donors / supply & distribution*
Tissue and Organ Harvesting / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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