Endovascular Management of Vascular Complications in Pancreatic Transplants

Vascular complications after pancreatic transplantation carry a high rate of graft loss. Endovascular management of these complications is confined to stent placement for iliac artery inflow disease and embolization for arteriovenous fistulae (AVFs), pseudoaneurysms, or active bleeding. The current...

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Bibliographic Details
Published in:Vascular and endovascular surgery 2012-04, Vol.46 (3), p.262-268
Main Authors: Saad, Wael E. A., Darwish, Wael E., Turba, Ulku C., Angle, John F., Wagner, Cynthia E., Matsumoto, Alan H., Brayman, Kenneth, Hagspiel, Klaus D.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Aneurysm, False - diagnosis
Aneurysm, False - etiology
Aneurysm, False - therapy
Angiography, Digital Subtraction
Angioplasty, Balloon - instrumentation
Arterial Occlusive Diseases - diagnosis
Arterial Occlusive Diseases - etiology
Arterial Occlusive Diseases - therapy
Arteriovenous Fistula - diagnosis
Arteriovenous Fistula - etiology
Arteriovenous Fistula - therapy
Biological and medical sciences
Embolization, Therapeutic - instrumentation
Emergency and intensive care: renal failure. Dialysis management
Endovascular Procedures - instrumentation
Female
Graft Survival
Humans
Intensive care medicine
Magnetic Resonance Angiography
Male
Mechanical Thrombolysis
Medical sciences
Middle Aged
Pancreas Transplantation - adverse effects
Retrospective Studies
Stents
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Doppler
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Venous Thrombosis - diagnosis
Venous Thrombosis - etiology
Venous Thrombosis - therapy
Virginia
Young Adult
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Description
Summary:Vascular complications after pancreatic transplantation carry a high rate of graft loss. Endovascular management of these complications is confined to stent placement for iliac artery inflow disease and embolization for arteriovenous fistulae (AVFs), pseudoaneurysms, or active bleeding. The current study describes the endovascular management of pancreatic transplant venous thrombosis (N = 1), arterial stenosis (N = 5), thrombosis (N = 3), pseudoaneurysms (N = 1), and AVF (N = 2). In addition, embolization of nonfunctioning grafts is described as an endovascular alternative to pancreatectomy.
ISSN:1538-5744
1938-9116
DOI:10.1177/1538574412438949