Open AccessEN BLOC PANCREAS AND KIDNEY TRANSPLANTATION IN A PATIENT WITH LIMITED VASCULAR ACCESS
Author(s) -
Atsushi Sugitani,
Gritsch Ha,
F. Egidi,
R Shapiro,
Corry Rj
Publication year - 1997
Publication title -
transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.45
H-Index - 204
eISSN - 1534-6080
pISSN - 0041-1337
DOI - 10.1097/00007890-199706150-00024
Subject(s) - medicine , pancreas , anastomosis , surgery , transplantation , kidney , pancreas transplantation , renal artery , kidney transplantation , hypoglycemia , diabetes mellitus , endocrinology
We report a successful en bloc pancreas and kidney transplantation on a type I diabetic patient with advanced peripheral arterial calcific disease, who had frequent life-threatening episodes of hypoglycemia. The en bloc double organ, created by joining the graft renal artery to the arterial Y graft of the pancreas, was implanted to the proximal left common iliac artery, which was the only site available for an arterial anastomosis. Under appropriate circumstances, this procedure would be an option for potential combined pancreas-kidney transplant recipients with severe calcific arterial disease.