Preview

Russian Journal of Transplantology and Artificial Organs

Advanced search

Methods of arterial reconstruction for pancreatic graft

https://doi.org/10.15825/1995-1191-2020-4-154-161

Abstract

About 2,400 pancreas transplantations are performed every year worldwide, mainly pancreaticoduodenal  transplantations. Most clinics use the classical revascularization technique using a Y-shaped vascular prosthetic implant. However, it is not always possible to restore full blood supply to the graft in this way. Therefore, other options for arterial reconstruction are being developed – from isolated blood supply to the graft via the splenic artery to full blood flow restoration through all the main vessels of the organ to ensure the most physiological blood supply to the pancreas. This review is devoted to analysis of the used arterial reconstruction methods and pancreaticoduodenal graft revascularization techniques.

About the Authors

N. S. Zhuravel
Sklifosovsky Research Institute of Emergency Care
Russian Federation

3/2, Bolshaya Sukharevskaya Ploshchad, Moscow, 129090, Russian Federation

Phone: (906) 703-05-42



I. V. Dmitriev
Sklifosovsky Research Institute of Emergency Care
Russian Federation
Moscow



A. V. Pinchuk
Sklifosovsky Research Institute of Emergency Care
Russian Federation
Moscow



References

1. Shestakova MV, Vikulova OK, Zheleznyakova AV, Isakov MA, Dedov II. Diabetes epidemiology in Russia: what has changed over the decade? Terapevticheskii arkhiv. 2019; 91 (10): 4–13. (in Russ, English abstract). https://doi.org/10.26442/00403660.2019.10.000364.

2. Global observatory on donation and transplantation – 2018 [Internet] [updated 2020 August 11]. Available from: http://www.transplant-observatory.org/summary/.

3. Starzl T, Thai N, Shapiro R. The history of pancreas transplantation. In: Corry RJ (ed.) Pancreatic transplantation. New York: Springer; 2006: 21–31.

4. Kelly WD, Lillehei RC, Merkel FK, Idezuki Y, Goetz FC. Allotransplantation of the pancreas and duodenum along with the kidney in diabetic nephropathy. Surgery. 1967; 61 (6): 827–837. PMID: 5338113.

5. Gruessner RWG, Sutherland DER. (eds.) Transplantation of the Pancreas. New York: Springer; 2004.

6. Sutherland DE, Gruessner RW, Dunn DL, Matas AJ, Humar A, Kandaswamy R et al. Lessons learned from more than 1,000 pancreas transplants at a single institution. Ann Surg. 2001; 233 (4): 463–501. PMID: 11303130. https://doi.org/10.1097/00000658-200104000-00003.

7. Yadav K, Young S, Finger EB, Kandaswamy R, Sutherland DER, Golzarian J, Dunn TB. Significant arterial complications after pancreas transplantation – A singlecenter experience and review of literature. Clin Transplant. 2017; 31 (10). PMID: 28787529. https://doi.org/10.1111/ctr.13070.

8. Surowiecka-Pastewka A, Matejak-Górska M, Frączek M, Sklinda K, Walecki J, Durlik M. Endovascular Interventions in Vascular Complications After Simultaneous Pancreas and Kidney Transplantations: A Single-Center Experience. Ann Transplant. 2019; 24: 199–207. PMID: 30975974. https://doi.org/10.12659/AOT.912005.

9. Grabowska-Derlatkaa L, Grochowiecki T, Pacho R, Rowiński O, Szmidt J. Role of 16-Multidetector Computerized Tomography in Evaluation of Graft Failure Risk in Patients with Pancreatic Graft Thrombosis After Simultaneous Pancreas and Kidney Transplantation. Transplant Proc. 2014; 46 (8): 2822–2824. PMID: 25380927. https://doi.org/10.1016/j.transproceed.2014.09.073.

10. Tondolo V, Manunza R, Pellegrino RA, Zamboni F. Pancreas Transplantation: Small-Center Experience in Type 1 Diabetes Mellitus in a High-Incidence Region. Transplant Proc. 2015; 47 (7): 2169–2172. PMID: 26361670. https://doi.org/10.1016/j.transproceed.2014.11.070.

11. Troppmann C, Gruessner AC, Benedetti E, Papalois BE, Dunn DL, Najarian JS et al. Vascular graft thrombosis after pancreatic transplantation: univariate and multivariate operative and nonoperative risk factor analysis. J Am Coll Surg. 1996; 182 (4): 285–316. PMID: 8605554.

12. Tso PL, Cash MP, Pearson TC, Larsen CP, Newell KA. Simultaneous Pancreas-Kidney Transplantation Utilizing a Common Arterial Conduit: Early Experience and Potential Applications. Am J Transplant. 2003 Nov; 3 (11): 1440–1443. PMID: 14525607. https://doi.org/10.1046/j.1600-6135.2003.00236.x.

13. Mercer DF, Rigley T, Stevens RB. Extended donor iliac arterial patch for vascular reconstruction during pancreas transplantation. Am J Transplant. 2004; 4 (5): 834–837. PMID: 15084183. https://doi.org/10.1111/j.1600-6143.2004.00422.x.

14. Ciancio G, Olson L, Burke GW. The use of the brachiocephalic trunk for arterial reconstruction of the whole pancreas allograft for transplantation. J Am Coll Surg. 1995; 181 (1): 79–80. PMID: 7599778.

15. De Miranda MP, Genzini T, Gil AO, Tacconi M, GamaRodrigues J. Use of a donor aortic cross for arterial reconstruction of the pancreaticoduodenal allograft. Clin Transplant. 1998; 12 (3): 165–167. PMID: 9642505.

16. Mizrahi S, Boudreaux JP, Hayes DH, Hussey JL. Modified vascular reconstruction for pancreaticoduodenal allograft. Surg Gynecol Obstet. 1993; 177 (1): 89–90. PMID: 8322161.

17. Troppmann C, Gruessner AC, Benedetti E, Papalois BE, Dunn DL, Najarian JS et al. Vascular graft thrombosis after pancreatic transplantation: univariate and multivariate operative and nonoperative risk factor analysis. J Am Coll Surg. 1996; 182 (4): 285–316. PMID: 8605554.

18. Bigam DL, Hemming AW, Sanabria JR, Cattral MS. Innominate artery interposition graft simplifies the portal venous drainage method of pancreas transplantation. Transplantation. 1999; 68 (2): 314–315. PMID: 10440410. https://doi.org/10.1097/00007890-199907270-00029.

19. Liao W-W, Ling X-C, Zhang C, Liu F-R, Zhu X-F, He X-S, Hu A-B. Novel surgical technique and efficacy analysis of donor pancreas preparation without vascular reconstruction in pancreas transplantation. J Int Med Res. 2019; 47 (12): 6182–6191. PMID: 31500486. https://doi.org/10.1177/0300060519870894.

20. Paulino J, Martins A, Vigia E, Marcelino P, Nobre AM, Bicho L et al. Simultaneous Kidney-Pancreas Transplantation With an Original «Transverse Pancreas» Technique: Initial 9 Years’ Experience With 56 Cases. Transplant Proc. 2017; 49 (8): 1879–1882. PMID: 28923641. https://doi.org/10.1016/j.transproceed.2017.04.015.

21. Pinchuk AV, Dmitriev IV, Anisimov YA, Storozhev RV, Balkarov AG, Kondrashkin AS et al. Pancreas transplantation with isolated splenic artery blood supply – Single center experience. Asian J Surg. 2020; 43 (1): 315–321. PMID: 31301933. https://doi.org/10.1016/j.asjsur.2019.06.011.

22. Miyagi S, Shimizu K, Miyazawa K, Nakanishi W, Hara Y, Tokodai K et al. A Case of Successful Simultaneous Pancreas-Kidney Transplantation Using the Injured Pancreas Graft. Transplant Proc. 2017; 49 (10): 2315–2317. PMID: 29198668. https://doi.org/10.1016/j.transproceed.2017.10.017.

23. Socci C, Orsenigo E, Zuber V, Caldara R, Castoldi R, Parolini D et al. Triple arterial reconstruction improves vascularization of whole pancreas for transplantation. Transplant Proc. 2006; 38 (4): 1158– 1159. PMID: 16757294. https://doi.org/10.1016/j.transproceed.2006.02.020.

24. Baranski AG, Lam HD, Braat AE, Schaapherder AF. The dorsal pancreatic artery in pancreas procurement and transplantation: anatomical considerations and potential implications. Clin Transplant. 2016; 30 (10): 1360–1364. PMID: 27555344. https://doi.org/10.1111/ctr.12814.

25. Adamson D, Holzner ML, Wadhera V, Shapiro R. Reconstruction of a Pancreatic Allograft With Variant Arterial Anatomy for Transplantation. Transplant Direct. 2019; 5 (2): e425. PMID: 30882029. https://doi.org/10.1097/TXD.0000000000000863.


Review

For citations:


Zhuravel N.S., Dmitriev I.V., Pinchuk A.V. Methods of arterial reconstruction for pancreatic graft. Russian Journal of Transplantology and Artificial Organs. 2020;22(4):154-161. https://doi.org/10.15825/1995-1191-2020-4-154-161

Views: 787


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1995-1191 (Print)