Endovascular Management of Vascular Complications in Pancreatic Transplants

被引：18
作者：
Saad, Wael E. A. [1 ]
Darwish, Wael E. [1 ]
Turba, Ulku C. [1 ]
Angle, John F. [1 ]
Wagner, Cynthia E. [2 ]
Matsumoto, Alan H. [1 ]
Brayman, Kenneth [2 ]
Hagspiel, Klaus D. [3 ]
机构：
[1] Univ Virginia Hlth Syst, Dept Radiol & Med Imaging, Div Vasc Intervent Radiol, Charlottesville, VA 22908 USA
[2] Univ Virginia Hlth Syst, Dept Surg, Div Solid Organ Transplantat, Charlottesville, VA 22908 USA
[3] Univ Virginia Hlth Syst, Dept Radiol & Med Imaging, Div Noninvas Cardiovasc Imaging, Charlottesville, VA 22908 USA
来源：
VASCULAR AND ENDOVASCULAR SURGERY | 2012年 / 46卷 / 03期
关键词：
thrombolysis; fistula; embolization; ARTERIOVENOUS-FISTULA; ARTERY; PSEUDOANEURYSM; EMBOLIZATION;
D O I：
10.1177/1538574412438949
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
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.
引用
收藏
页码：262 / 268
页数：7
相关论文
共 16 条
  • [1] Percutaneous embolization of a high-flow pancreatic transplant arteriovenous fistula
    Angle, JF
    Matsumoto, AH
    McGraw, JK
    Hagspiel, KD
    Spinosa, DJ
    McCullough, CS
    [J]. CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 1999, 22 (02) : 147 - 149
  • [2] Transarterial and transvenous embolotherapy of arteriovenous fistulas in the transplanted pancreas
    Barth, Mara M.
    Khwaja, Khalid
    Faintuch, Salomao
    Rabkin, Dmitry
    [J]. JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2008, 19 (08) : 1231 - 1235
  • [3] Venous thrombosis and occlusion after pancreas transplantation: Evaluation with breath-hold gadolinium-enhanced three-dimensional MR imaging
    Eubank, WB
    Schmiedl, UP
    Levy, AE
    Marsh, CL
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2000, 175 (02) : 381 - 385
  • [4] Pancreas transplant outcomes for United States (US) and non-US cases as reported to the United Network for Organ Sharing (UNOS) and the International Pancreas Transplant Registry (IPTR) as of June 2004
    Gruessner, AC
    Sutherland, DE
    [J]. CLINICAL TRANSPLANTATION, 2005, 19 (04) : 433 - 455
  • [5] Evaluation of vascular complications of pancreas transplantation with high-spatial-resolution contrast-enhanced MR angiography
    Hagspiel, Klaus D.
    Nandalur, Kiran
    Pruett, Timothy L.
    Leung, Daniel A.
    Angle, J. Fritz
    Spinosa, David J.
    Matsumoto, Alan H.
    Ahmed, Hossam
    Sanfey, Hilary A.
    Sawyer, Robert G.
    Burkholder, Brian
    Brayman, Kenneth L.
    [J]. RADIOLOGY, 2007, 242 (02) : 590 - 599
  • [6] Treatment of external iliac artery dissection with endovascular stent placement in a patient with simultaneous pancreas and kidney transplantation
    Kimura, T
    Saito, T
    Tsuchiya, T
    Kenjo, A
    Anazawa, T
    Abè, T
    Gotoh, M
    [J]. TRANSPLANTATION PROCEEDINGS, 2005, 37 (08) : 3572 - 3573
  • [7] Lower gastrointestinal hemorrhage from an arterioenteric fistula in a pancreatorenal transplant patient
    McBeth, BD
    Stern, SA
    [J]. ANNALS OF EMERGENCY MEDICINE, 2003, 42 (04) : 587 - 591
  • [8] Multirow CT in the follow-up of pancreas transplantation
    Neri, E
    Cappelli, C
    Boggi, U
    Salvatori, L
    Vistoli, F
    Del Chiaro, M
    Coletti, L
    Mosca, F
    Bartolozzi, C
    [J]. TRANSPLANTATION PROCEEDINGS, 2004, 36 (03) : 597 - 600
  • [9] Successful endovascular treatment for gastroduodenal artery pseudoaneurysm with an arteriovenous fistula after pancreas transplantation
    Orsenigo, E
    De Cobelli, F
    Salvioni, M
    Cristallo, M
    Fiorina, P
    Del Maschio, A
    Di Carlo, V
    Secchi, A
    [J]. TRANSPLANT INTERNATIONAL, 2003, 16 (09) : 694 - 696
  • [10] Embolization of a mesenteric arteriovenous fistula following pancreatic allograft: The steal effect
    Phillips, BJ
    Fabrega, AJ
    [J]. TRANSPLANTATION, 2000, 70 (10) : 1529 - 1531
12