21 May 2009
Usefulness of 16 MDCT with vr (volium rendering) and mip (maximum intensityprojection) reconstruction as a monitoring of pancreatic graft vessels potency during early postoperative period
L Grabowska-Derlatka, T Grochowiecki, R Pacho, T Jakimowicz, O RowińskiAnn Transplant 2009; 14(1): 23-23 :: ID: 880282
Abstract
Background: Thrombosis of graft's vessels is the most common complication
after pancreas transplantation. It leads to removal of even 10% of grafts during
the early postoperative period. The aim of this study was to evaluate the usefulness of 16-MDCT with VR (volume rendering) and MIP (maximum intensity projection) reconstruction as a monitoring of pancreatic graft vessels potency during early postoperative period.
Material/Methods: In 40 recipients 16-MDCT was performed including arterial and portal venous phases within 6-8 days after SPKTx. Secondary reconstructions were obtained with the application of VR and MIP algorithm. We evaluated vessels' anastomosis, extra and intrapancreatic arteries and venous morphology, especially diagnosing or excluding graft vessels' thrombosis with MIP reconstruction.
Results: In 17 patients the thrombosis of big pancreatic graft vessels was recognized: in 12 of them thrombosis occurred in big pancreatic veins and arteries and in 5 only in arteries. In addition in 10 out of 17 small clots (2-4mm) in intrapancreatic vessels were observed. In 3 patients only small vessels without big vessels' thrombosis was recognized. All patients with thromboses underwent intravenous heparin treatment.
Conclusions: 16-MDCT with secondary reconstruction with the application VR and MIP algorithm is an efficient method of estimating arterial and venous extra and intrapancreatic vessels. MIP reconstruction allows avoiding false positive recognition of thrombosis especially in parts of vessels' bifurcation. In cases of thrombosis of small intrapancreatic vessels, it allows to detect the early changes and start the treatment without the necessity of graft removal.
Keywords: Pancreas Transplantation
In Press
15 Mar 2024 : Review article
Approaches and Challenges in the Current Management of Cytomegalovirus in Transplant Recipients: Highlighti...Ann Transplant In Press; DOI: 10.12659/AOT.941185
18 Mar 2024 : Original article
Does Antibiotic Use Increase the Risk of Post-Transplantation Diabetes Mellitus? A Retrospective Study of R...Ann Transplant In Press; DOI: 10.12659/AOT.943282
20 Mar 2024 : Original article
Transplant Nephrectomy: A Comparative Study of Timing and Techniques in a Single InstitutionAnn Transplant In Press; DOI: 10.12659/AOT.942252
28 Mar 2024 : Original article
Association Between FEV₁ Decline Rate and Mortality in Long-Term Follow-Up of a 21-Patient Pilot Clinical T...Ann Transplant In Press; DOI: 10.12659/AOT.942823
Most Viewed Current Articles
05 Apr 2022 : Original article
Impact of Statins on Hepatocellular Carcinoma Recurrence After Living-Donor Liver TransplantationDOI :10.12659/AOT.935604
Ann Transplant 2022; 27:e935604
12 Jan 2022 : Original article
Risk Factors for Developing BK Virus-Associated Nephropathy: A Single-Center Retrospective Cohort Study of ...DOI :10.12659/AOT.934738
Ann Transplant 2022; 27:e934738
22 Nov 2022 : Original article
Long-Term Effects of Everolimus-Facilitated Tacrolimus Reduction in Living-Donor Liver Transplant Recipient...DOI :10.12659/AOT.937988
Ann Transplant 2022; 27:e937988
15 Mar 2022 : Case report
Combined Liver, Pancreas-Duodenum, and Kidney Transplantation for Patients with Hepatitis B Cirrhosis, Urem...DOI :10.12659/AOT.935860
Ann Transplant 2022; 27:e935860