title: Successful endovascular salvage of a pancreatic graft after a venous thrombosis: case report and literature review.
abstract: Simultaneous kidney and pancreatic transplant is the criterion standard for treatment of end-stage renal failure because of diabetic nephropathy. Venous thrombosis occurs in approximately 5% of pancreatic transplants, and it is notoriously difficult to treat, forming the most common nonimmunologic cause of graft loss. We report a case of early detection of pancreatic graft venous thrombosis by measuring urinary amylase, resulting in the successful endovascular salvage of the pancreatic graft.
authors.affiliation: Department of Hepatobiliary and Transplant Surgery, Freeman Hospital, Newcastle upon Tyne, United Kingdom. john.asher@doctors.org.uk
authors.forename: John F
authors.initials: JF
authors.lastname: Asher
authors.forename: Colin H
authors.initials: CH
authors.lastname: Wilson
authors.forename: David
authors.initials: D
authors.lastname: Talbot
authors.forename: Derek M
authors.initials: DM
authors.lastname: Manas
authors.forename: Rob
authors.initials: R
authors.lastname: Williams
authors.forename: Steve A
authors.initials: SA
authors.lastname: White
mesh_terms: D000681:Amylases / Q000652:urine; D015415:Biomarkers / Q000652:urine; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D003928:Diabetic Nephropathies / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D042241:Early Diagnosis; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016030:Kidney Transplantation; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000009:adverse effects*; D010690:Phlebography; D011237:Predictive Value of Tests; D015641:Radiography, Interventional; D017131:Thrombectomy / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy* / Q000652:urine
chemical_list: D015415:Biomarkers; D000681:Amylases