title: Endovascular management of vascular complications in pancreatic transplants.
abstract: 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.
authors.affiliation: Department of Radiology & Medical Imaging, Division of Vascular Interventional Radiology, University of Virginia Health System, Charlottesville, VA 22908, USA. wspikes@yahoo.com
authors.forename: Wael E A
authors.initials: WE
authors.lastname: Saad
authors.forename: Wael E
authors.initials: WE
authors.lastname: Darwish
authors.forename: Ulku C
authors.initials: UC
authors.lastname: Turba
authors.forename: John F
authors.initials: JF
authors.lastname: Angle
authors.forename: Cynthia E
authors.initials: CE
authors.lastname: Wagner
authors.forename: Alan H
authors.initials: AH
authors.lastname: Matsumoto
authors.forename: Kenneth
authors.initials: K
authors.lastname: Brayman
authors.forename: Klaus D
authors.initials: KD
authors.lastname: Hagspiel
mesh_terms: D000293:Adolescent; D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D000800:Angioplasty, Balloon / Q000295:instrumentation; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000295:instrumentation; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006085:Graft Survival; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D061185:Mechanical Thrombolysis; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000009:adverse effects*; D012189:Retrospective Studies; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D014768:Virginia; D055815:Young Adult