The use of venous jump grafts in pancreatic transplantation - no difference in patient or allograft outcomes - an update of the UNOS database

Autor:	Sarah Ashburn, Tamar Siskind, Jorge Ortiz, Meredith Akerman, Amit Basu, Madhu Bhaskaran, Ernesto P. Molmenti, Lauren Goldberg, Eric Siskind, Caroline Maloney
Rok vydání:	2014
Předmět:	Adult Graft Rejection Male medicine.medical_specialty Databases Factual medicine.medical_treatment Portal vein Pancreas transplantation Anastomosis Risk Factors Humans Transplantation Homologous Medicine In patient Survival rate Venous Thrombosis Transplantation Portal Vein business.industry Anastomosis Surgical Graft Survival Pancreatic Diseases Prognosis medicine.disease Surgery Survival Rate Venous thrombosis surgical procedures operative medicine.anatomical_structure Female Pancreas Transplantation business Pancreas Follow-Up Studies
Zdroj:	Clinical Transplantation. 28:883-888
ISSN:	0902-0063
Popis:	Venous jump grafts are used in pancreas transplantation to salvage a pancreas with a short portal vein or to facilitate an easier anastomosis. There have been no large studies evaluating the safety of venous jump grafts in pancreas transplantation. We analyzed the UNOS database to determine whether venous jump grafts are associated with graft loss or patient death. Data from UNOS on all adult pancreas transplant recipients 1996-2012 were analyzed. Venous extension grafts were used in 2657 cases; they were not in 18 124. Kaplan-Meier/product-limit estimates analysis demonstrated similar patient survival (p < 0.641) and death-censored graft survival (p < 0.351) at one, three, five,10, and 15 yr between subjects with and without venous jump grafts. There was a statistically significant difference in one-yr unadjusted patient survival between the venous extension graft (94.9%) and the no-venous extension graft (95.8%) groups (p < 0.045) and a borderline difference in one-yr graft survival between the venous extension graft (84.1%) and the no-venous extension graft (82.6%) groups (p < 0.055). There was no significant difference in patient survival or allograft survival at the three-, five-, 10-, and 15-yr intervals. The use of venous jump grafts is not associated with increased graft loss or mortality.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::65f0e613f19ee98991dba522bd31cc29 https://doi.org/10.1111/ctr.12397 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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