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The use of venous jump grafts in pancreatic transplantation – no difference in patient or allograft outcomes – an update of the UNOS database
Author(s) -
Siskind Eric,
Maloney Caroline,
Ashburn Sarah,
Akerman Meredith,
Siskind Tamar,
Goldberg Lauren,
Bhaskaran Madhu,
Basu Amit,
Molmenti Ernesto,
Ortiz Jorge
Publication year - 2014
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.12397
Subject(s) - medicine , surgery , pancreas , anastomosis , vein , transplantation
Venous jump grafts are used in pancreas transplantation to salvage a pancreas with a short portal vein or to facilitate an easier anastomosis. There have been no large studies evaluating the safety of venous jump grafts in pancreas transplantation. We analyzed the UNOS database to determine whether venous jump grafts are associated with graft loss or patient death. Data from UNOS on all adult pancreas transplant recipients 1996–2012 were analyzed. Venous extension grafts were used in 2657 cases; they were not in 18 124. Kaplan–Meier/product‐limit estimates analysis demonstrated similar patient survival (p < 0.641) and death‐censored graft survival (p < 0.351) at one, three, five,10, and 15 yr between subjects with and without venous jump grafts. There was a statistically significant difference in one‐yr unadjusted patient survival between the venous extension graft (94.9%) and the no‐venous extension graft (95.8%) groups (p < 0.045) and a borderline difference in one‐yr graft survival between the venous extension graft (84.1%) and the no‐venous extension graft (82.6%) groups (p < 0.055). There was no significant difference in patient survival or allograft survival at the three‐, five‐, 10‐, and 15‐yr intervals. The use of venous jump grafts is not associated with increased graft loss or mortality.