Significant arterial complications after pancreas transplantation—A single‐center experience and review of literature

  title={Significant arterial complications after pancreas transplantation—A single‐center experience and review of literature},
  author={K. Yadav and S. Young and E. Finger and R. Kandaswamy and D. Sutherland and J. Golzarian and T. Dunn},
  journal={Clinical Transplantation},
Arterial fistulas and pseudoaneurysms are rarely described significant arterial complications associated with pancreas transplantation that sometimes present with herald or catastrophic bleeding. We herein describe our institutional case series with a focus on management and outcomes. Of 2256 pancreas transplants, 24 arterial complications were identified in 23 recipients. Chart review was performed to describe the clinical characteristics, treatments, and outcomes of the complications… Expand
Endovascular Interventions in Vascular Complications After Simultaneous Pancreas and Kidney Transplantations: A Single-Center Experience
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A patient receiving simultaneous pancreas/kidney transplantation develops a pseudoaneurysm of the iliac Y graft reconstruction, necessitating elective transplantectomy to avoid rupture. Expand
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Late complications of pancreas transplant
A literature search was carried out on the long-term complications of pancreatic transplantation, namely, complications from postoperative 3rd mo onwards, in terms of loss of graft function, late infection and vascular complications as pseudoaneurysms. Expand
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A case of a pseudoaneurysm developing in a recipient 6 months after bladder‐drained pancreas transplantation is presented and it is demonstrated that with prompt diagnostic and surgical management, non‐infected pseudoaneuysms can be repaired without loss of pancreatic function. Expand
Pseudoaneurysm after combined kidney/pancreas transplantation presenting with sentinel bleeding: a case report and review.
Although pseudoaneurysm after pancreas transplantation is uncommon, unexplained post-operative bleeding, even in the stable patient, should raise the suspicion of a sentinel bleeding event necessitating urgent angiography, and the choice between minimally invasive and open surgical repair should be individualized depending on the site of the lesion. Expand
Pseudoaneurysm of the superior mesenteric artery after pancreas transplantation treated by endovascular stenting.
A 38-year-old patient who presented with a pseudoaneurysm of the donor superior mesenteric artery 1 month after pancreas transplantation was described and the lesion was repaired with endovascular placement of a 28-mm covered stent. Expand
Arterial Pseudoaneurysm Associated with Pancreas and Kidney Transplantation: A Case Report
A combined procedure using an endovascular and surgical approach promoted a good vascular control with a lower risk of bleeding in a rare case of pseudoaneurysm in a transplant patient. Expand
Embolization of a ruptured pseudoaneurysm with massive hemorrhage following pancreas transplantation: a case report.
A case of an arterioduodenal fistula related to a ruptured pseudoaneurysm after simultaneous pancreas-kidney transplantation (SPK) with massive gastrointestinal hemorrhage treated by embolization of the Y graft. Expand
Vascular complications following bladder drained, simultaneous pancreas‐kidney transplantation: the University of Miami experience
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Management of a ruptured mycotic pseudo-aneurysm following pancreas-kidney transplantation.
This case highlights important considerations when managing mycotic pseudoaneurysms in transplant recipients and stent placement to manage such complications may not be a long lasting solution and where stent deployment is used close follow-up of patients is mandatory. Expand
Superior mesenteric arteriovenous fistula in vascularized whole organ pancreatic allografts.
This unusual complication of an arteriovenous fistula (AVF) in the transplanted mesenteric bundle is identified in three of 90 consecutive recipients of pancreatic transplant. Expand
Vascular Complications of Pancreas Transplantation
In this series, the pancreas was salvaged successfully in all patients with the technique described here, and it is suggested that VT can be effectively treated with anticoagulation. Expand