Journal «Angiology and Vascular Surgery» • 

2019 • VOLUME 25 • №1

Pancreas transplantation with isolated blood supply through the splenic artery

Pinchuk A.V.1, Anisimov Yu.A.1, Dmitriev I.V.1, Storozhev R.V.1, Balkarov A.G.1, Muslimov R.Sh.2, Khodilina I.V.3

1) Department of Kidney and Pancreas Transplantation,
2) Department of Radiodiagnosis,
3) Department of Ultrasound Methods of Diagnosis, Research Institute of Emergency Medicine named after N.V. Sklifosovsky under the Moscow Health Care Department, Moscow, Russia

In multiple organ procurement, taking into consideration certain peculiarities of the vascular architectonics of the celiac trunk or an iatrogenic injury to the superior mesenteric artery, it is impossible to perform standard arterial reconstruction of a pancreas transplant with the use of a Y-shaped vascular allograft. This results in refusal from transplanting a potentially suitable organ. The purpose of our study was to assess the possibility of transplantation of the pancreatoduodenal complex with isolated blood supply via the splenic artery.

Between January 2008 and November 2016, transplantation of the pancreas was carried out in a total of 20 patients (9 men and 11 women aged from 26 to 40 years, mean age 37.2±5.6 years). Depending on the number of the major arteries supplying the pancreas, the patients were divided into 2 groups.

No statistically significant between-group differences in the parameters of volumetric blood flow determined by means of CT perfusion, in the majority of laboratory findings or therapeutic outcomes were revealed.

Based on assessment of the function and quality of pancreatic blood supply, we proved feasibility of transplantation of the pancreatoduodenal complex with isolated blood supply through the splenic artery.

KEY WORDS: pancreas transplantation, isolated blood supply, splenic artery, perfusion.

P. 130

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