Logo Annals of Transplantation Logo Annals of Transplantation Logo Annals of Transplantation

21 May 2009

Logistic methods of organ’s cold ischaemia time reduction in simultaneous pancreas and kidney transplantation

S Sekta, J Ziaja, R Król, L Cierpka

Ann Transplant 2009; 14(1): 45-45 :: ID: 880363

Abstract

Background: Cold ischemia time (CIT) of pancreatic graft is an important factor that influences the results of simultaneous pancreas and kidney transplantation (SPK). The aim of the study is to present logistic methods reducing CIT of pancreatic graft during SPK.
Material/Methods: 32 SPK performed from 2004 to 2008 were analyzed. Lymph nodes (LN) for cross-matching were procured immediately after donor brain death diagnosis. In 12 cases cross-match was done locally (in Katowice) and in 20 - centrally (in the capital of Poland). During LN transport and cross-matching preliminary identification, selection and preparation of 2-3 potential recipients was completed. Finally, selected recipient was sent out to the transplant centre and the transplant team sent out to organ retrieval hospital as soon as the results of the cross-match were obtained.
Results: Mean duration of LN transport and cross-matching was 10 h (identical for local and central typing). Mean duration of recipient's transport to the transplant centre was 2.3 h (0.5 h for local recipients and 3.3h for re-mote recipients). It did not exceed the duration of transplant team's transport and harvesting operation which was 4.7 h (4.3 h for local and 6.8 h for remote retrieval). Mean pancreas CIT was 7.5 h and kidney - 9.1h. 12.5% of patients lost pancreatic graft due to thrombosis. There was no primary kidney graft non-function in the analyzed group.
Conclusions: Early donor lymph nodes procurement for cross-matching as well as early potential recipient's identification, selection and preparation can reduce CIT in SPK.

Keywords: Organ Procurement

Add Comment 0 Comments

In Press

06 Feb 2024 : Case report  

Successful Sequential Liver and Isolated Intestine Transplantation for Mitochondrial Neurogastrointestinal ...

Ann Transplant In Press; DOI: 10.12659/AOT.941881  

12 Feb 2024 : Original article  

No Prognostic Impact of Graft-to-Recipient Weight Ratio on Hepatocellular Carcinoma Recurrence Following Li...

Ann Transplant In Press; DOI: 10.12659/AOT.942767  

21 Feb 2024 : Original article  

Use of LCP-Tacrolimus (LCPT) in Kidney Transplantation: A Delphi Consensus Survey of Expert Clinicians

Ann Transplant In Press; DOI: 10.12659/AOT.943498  

Most Viewed Current Articles

05 Apr 2022 : Original article  

Impact of Statins on Hepatocellular Carcinoma Recurrence After Living-Donor Liver Transplantation

DOI :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

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358