Pancreatic islet transplantation: the radiographic approach.

Abstract:

BACKGROUND:Successful pancreatic islet transplantation (PIT) has resulted in several transplant centers wanting to start PIT programs. PIT remains experimental and must be performed safely for its continued use. We describe the radiographic techniques used at our center and their results. METHODS:Between January 17, 2002, and December 16, 2002, 17 percutaneous transhepatic PITs were performed by two interventional radiologists. Ultrasound localization of and guidance to the portal vein (PV) were used. Portosplenography confirmed the position of the PV islet infusion catheter, and PV pressure was documented before, during, and at the completion of PIT. To prevent PV thrombosis, heparin (17.5 U/kg) through the PV infusion catheter and subcutaneous enoxaparin (Lovenox, Aventis Pharmaceuticals, Parsippany, NJ) were administered after PIT. At the completion of PIT, thrombin-saturated Gelfoam (Johnson and Johnson, Summerville, NJ) was embolized into the hepatic parenchymal tract. RESULTS:Percutaneous PV access was achieved in all cases (median number of seeker needle passes=2, range: 1-6), and PIT was performed. In no case was any extrahepatic organ punctured, and sustained PV hypertension was not seen. No patient required transfusion, and it was documented by Doppler ultrasonography that PV thrombosis did not result from PIT. In addition, intraparenchymal and intraabdominal bleeding did not complicate any PIT; 71% and 59% of the patients experienced moderate posttransplant abdominal pain and nausea, respectively. All patients demonstrated a self-limited, asymptomatic posttransplant transaminitis. CONCLUSIONS:We believe that PIT should be performed by a small number of experienced interventional radiologists using ultrasound guidance and posttransplant embolization of the hepatic parenchymal tract.

journal_name

Transplantation

journal_title

Transplantation

authors

Goss JA,Soltes G,Goodpastor SE,Barth M,Lam R,Brunicardi FC,Froud T,Alejandro R,Ricordi C

doi

10.1097/01.TP.0000073976.26604.96

subject

Has Abstract

pub_date

2003-07-15 00:00:00

pages

199-203

issue

1

eissn

0041-1337

issn

1534-6080

journal_volume

76

pub_type

杂志文章
  • Potential feasibility of early bone marrow cell injection into the spleen for creating functional hepatocytes.

    abstract:BACKGROUND:Bone marrow cells (BMCs) are believed to have the ability to generate functional hepatocytes and have some merits as a therapeutic modality for metabolic liver diseases. However, the appearance of BMC-derived hepatocytes (BMDHs) is low. We hypothesized that early BMC injection would be feasible for creating ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31819e0528

    authors: Misawa R,Soeda J,Ise H,Takahashi M,Kubota K,Mita A,Nakata T,Miyagawa S

    更新日期:2009-04-27 00:00:00

  • A Scandinavian two-center study of BMA 031 in steroid-resistant rejection of renal grafts.

    abstract::BMA 031 (Behring Monoclonal Antibody) was given to 25 renal graft recipients with biopsy-proven steroid-resistant rejections. A dose of 50 mg of BMA 031 was given i.v. on 7 consecutive days concomitantly with a standard triple-drug regimen. No premedication was administered before the first BMA 031 dose. After the fir...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1097/00007890-199308000-00009

    authors: Pfeffer PF,Ohlman S,Jakobsen A,Fauchald P,Leivestad T,Tydén G,Flatmark A

    更新日期:1993-08-01 00:00:00

  • Pancreas retransplantation: a second chance for diabetic patients?

    abstract:BACKGROUND:If pancreas transplantation is a validated alternative for type 1 diabetic patients with end-stage renal disease, the management of patients who have lost their primary graft is poorly defined. This study aims at evaluating pancreas retransplantation outcome. METHODS:Between 1976 and 2008, 569 pancreas tran...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0b013e318271d795

    authors: Buron F,Thaunat O,Demuylder-Mischler S,Badet L,Brunet M,Ber CE,Thivolet C,Martin X,Berney T,Morelon E

    更新日期:2013-01-27 00:00:00

  • Sirolimus reduces the incidence of acute rejection episodes despite lower cyclosporine doses in caucasian recipients of mismatched primary renal allografts: a phase II trial. Rapamune Study Group.

    abstract:BACKGROUND:The novel agent sirolimus (SRL; Rapamune; rapamycin) inhibits the immune response by a mechanism distinct from those of calcineurin antagonists or antimetabolites. This randomized, controlled, multicenter, single blind, phase II trial examined the combination of SRL, steroids, and full versus reduced doses o...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00007890-199911270-00016

    authors: Kahan BD,Julian BA,Pescovitz MD,Vanrenterghem Y,Neylan J

    更新日期:1999-11-27 00:00:00

  • Immunosenescence does not abrogate engraftment of murine allogeneic bone marrow.

    abstract:BACKGROUND:Allogeneic bone marrow transplantation is under investigation for a range of nonmalignant indications, including tolerance induction through mixed chimerism. This strategy has so far been tested experimentally only in young recipients. Due to immunosenescence, older patients have an increase in memory T cell...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182954618

    authors: Hock K,Oberhuber R,Lee YL,Wrba F,Wekerle T,Tullius SG

    更新日期:2013-06-27 00:00:00

  • Prolongation of allograft survival by combination therapy with anti-thymocyte serum and anti-immunoglobulin.

    abstract::Heterologous anti-immunoglobulin (AI) is a potent immunosuppressive agent which compares favorably to anti-thymocyte serum (ATS) in inhibiting E and EAC-rosette formation and diminishing the secondary antibody response to sheep erythrocytes and E. coli lipopolysaccharide. AI prolongs H-2 incompatible skin allograft su...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197609000-00003

    authors: Constantian MB,Couser WG,French PJ,Davis RC

    更新日期:1976-09-01 00:00:00

  • Sirolimus (rapamycin) for the treatment of steroid-refractory acute graft-versus-host disease.

    abstract:BACKGROUND:In a pilot trial we evaluated the toxicity and efficacy of sirolimus (rapamycin) as second-line therapy for the treatment of acute graft-versus-host disease (GVHD) in 21 patients (1-46 years of age) after allogeneic hematopoietic stem cell transplantation (HSCT). METHODS:All patients were treated with methy...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200112270-00010

    authors: Benito AI,Furlong T,Martin PJ,Anasetti C,Appelbaum FR,Doney K,Nash RA,Papayannopoulou T,Storb R,Sullivan KM,Witherspoon R,Deeg HJ

    更新日期:2001-12-27 00:00:00

  • Five-year outcome in pediatric patients with mycophenolate mofetil-based renal transplantation.

    abstract:BACKGROUND:Mycophenolate mofetil (MMF) based immunosuppression after renal transplantation has proven to be safe and beneficial for children and adolescents. However, long-term analysis, in particular of pediatric patients, is scarce. PATIENTS:Data of 140 patients receiving MMF versus azathioprine (AZA) in combination...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000258587.70166.87

    authors: Jungraithmayr TC,Wiesmayr S,Staskewitz A,Kirste G,Bulla M,Fehrenbach H,Dippell J,Greiner C,Griebel M,Helmchen U,Klaus G,Leichter HE,Mihatsch MJ,Michalk DV,Misselwitz J,Plank C,Tönshoff B,Weber LT,Zimmerhackl LB,Germ

    更新日期:2007-04-15 00:00:00

  • An integrated safety profile analysis of belatacept in kidney transplant recipients.

    abstract:BACKGROUND:Belatacept is associated with better renal function and an improved cardiovascular/metabolic risk profile versus cyclosporine in kidney transplant recipients. The current analysis examined pooled safety data for belatacept versus cyclosporine used in combination with basiliximab, mycophenolate mofetil, and s...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182007b95

    authors: Grinyó J,Charpentier B,Pestana JM,Vanrenterghem Y,Vincenti F,Reyes-Acevedo R,Apanovitch AM,Gujrathi S,Agarwal M,Thomas D,Larsen CP

    更新日期:2010-12-27 00:00:00

  • The impact of hypoalbuminemia in kidney-pancreas transplant recipients.

    abstract:BACKGROUND:Hypoalbuminemia is associated with poorer outcomes in renal transplantation. Diabetes can compound hypoalbuminemia's detrimental effects. Kidney-pancreas transplantation alters the diabetic milieu; yet, some patients continue to be hypoalbuminemic. METHODS:We retrospectively analyzed 232 patients who underw...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199907150-00014

    authors: Becker BN,Becker YT,Heisey DM,Leverson GE,Collins BH,Odorico JS,D'Alessandro AM,Knechtle SJ,Pirsch JD,Sollinger HW

    更新日期:1999-07-15 00:00:00

  • Immunologic recovery in thalassemic marrow graft recipients following high-dose busulfan and cyclophosphamide.

    abstract::T lymphocyte subsets, mitogenic response, and immunoglobulin levels were studied in peripheral blood from 95 thalassemic patients before and at different times after bone marrow transplantation. With the exception of patients receiving more than 100 transfusion units before transplant, who showed an increased percenta...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198809000-00012

    authors: Andreani M,Centis F,Lucarelli G,Polchi P,Rossi MC,La Nasa G,De Biagi M

    更新日期:1988-09-01 00:00:00

  • A randomized controlled trial of intravenous or oral iron for posttransplant anemia in kidney transplantation.

    abstract:BACKGROUND:Anemia after kidney transplantation has been associated with poor transplant outcomes. We hypothesized that intravenous (IV) iron may more rapidly correct anemia than oral (PO) iron. METHODS:One hundred four kidney transplant recipients were prospectively randomized to IV iron polymaltose (500 mg single dos...

    journal_title:Transplantation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/TP.0b013e318248375a

    authors: Mudge DW,Tan KS,Miles R,Johnson DW,Badve SV,Campbell SB,Isbel NM,van Eps CL,Hawley CM

    更新日期:2012-04-27 00:00:00

  • Delayed hepatic artery thrombosis in adult orthotopic liver transplantation-a 12-year experience.

    abstract:BACKGROUND:Although the clinical features of early hepatic artery thrombosis (HAT) are well defined, the features of delayed (more than 4 weeks after transplantation) hepatic artery thrombosis are less clearly defined. The aim of our study was to identify risk factors, clinical presentation, and outcome of management o...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200106150-00018

    authors: Bhattacharjya S,Gunson BK,Mirza DF,Mayer DA,Buckels JA,McMaster P,Neuberger JM

    更新日期:2001-06-15 00:00:00

  • Natural killer cell interaction with murine allogeneic MHC class I molecules.

    abstract::Class I molecules of the MHC affect target cell sensitivity to NK cell repertoire. In the mouse, absence of MHC class I molecules on target cells is associated with an increased susceptibility to NK cell-mediated lysis, while syngeneic class I molecules confer protection. In contrast to the protective role of syngenei...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199508000-00013

    authors: Salcedo M,Höglund P,Ljunggren HG

    更新日期:1995-08-15 00:00:00

  • Clinical benefit of neoral dose monitoring with cyclosporine 2-hr post-dose levels compared with trough levels in stable heart transplant patients.

    abstract:BACKGROUND:Based on the excellent correlation between cyclosporine A 2-hr postdose blood levels (C2) and the area under the concentration versus time curve, we evaluated the clinical benefit of Neoral dose monitoring with C2 compared trough levels (C0) in stable heart transplant patients. METHODS:We studied 114 stable...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199912270-00003

    authors: Cantarovich M,Elstein E,de Varennes B,Barkun JS

    更新日期:1999-12-27 00:00:00

  • Impact of TGFbeta1 gene polymorphisms on acute and chronic rejection in pediatric heart transplant allografts.

    abstract:BACKGROUND:The aim of this study was to assess the influence of IL-10 and TGFbeta1 gene polymorphisms on the development of acute rejection and coronary disease in pediatric heart transplant recipients. METHODS:Patients were classified as either Rejectors or Nonrejectors. Coronary artery disease (CAD) was diagnosed by...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000202725.55923.37

    authors: Di Filippo S,Zeevi A,McDade KK,Bastien O,Webber SA

    更新日期:2006-03-27 00:00:00

  • Nosocomial Pneumocystis jirovecii pneumonia: lessons from a cluster in kidney transplant recipients.

    abstract:BACKGROUND:Pneumocystis jirovecii pneumonia (PJP) is an important infection-related complication, whose mode of transmission remains uncertain. METHODS:We investigated a nosocomial cluster of 14 PJP cases (11 confirmed and 3 probable) in kidney transplant recipients using epidemiological and genotyping methods. RESUL...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182384b57

    authors: Phipps LM,Chen SC,Kable K,Halliday CL,Firacative C,Meyer W,Wong G,Nankivell BJ

    更新日期:2011-12-27 00:00:00

  • Hyperexpression of Foxp3 and IDO during acute rejection of islet allografts.

    abstract:BACKGROUND:We investigated the hypothesis that Foxp3+ cells are an integral component of antiallograft immunity but are dominated by pathogenic effectors. METHODS:Wild-type H-2b C57BL/6 (B6) mice or B6 mice with a targeted disruption of c-Rel gene (c-Rel-/-) were used as recipients of islet grafts from allogeneic DBA/...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000263991.74052.46

    authors: Yang H,Ding R,Sharma VK,Hilaire FS,Lagman M,Li B,Thomas DA,Luo X,Song P,Stauffer C,August P,Suthanthiran M

    更新日期:2007-06-27 00:00:00

  • Attenuation of cyclosporine-induced hypertension by dietary fatty acids in the borderline hypertensive rat.

    abstract::The effects of dietary (10% calories) safflower (SAF), evening primrose (EPO), and fish oil (F) as sources of linoleic acid (control), gamma-linolenic acid, and long-chain n-3 fatty acids, respectively, on cardiovascular and renal responses to chronic (5 weeks) cyclosporine administration were studied in male borderli...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199203000-00030

    authors: Mills DE,Ward RP,McCutcheon D,Dixon H,Ly H,Scholey J

    更新日期:1992-03-01 00:00:00

  • Factor XIII replacement in stem-cell transplant recipients with severe hemorrhagic cystitis: a report of four cases.

    abstract:BACKGROUND:Hemorrhagic cystitis (HC) is an important cause of morbidity in patients undergoing allogeneic stem-cell transplantation (SCT). Various causes have been identified, such as the use of high-dose cyclophosphamide or busulfan and the occurrence of acute graft-versus-host disease or viral infections (cytomegalov...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200210270-00024

    authors: Demesmay K,Tissot E,Bulabois CE,Bertrand MA,Racadot E,Woronoff-Lemsi MC,Cahn JY,Deconinck E

    更新日期:2002-10-27 00:00:00

  • Intact pig pancreatic islet function in the presence of human xenoreactive natural antibody binding and complement activation.

    abstract:BACKGROUND:The expression of xenogeneic epitopes and the activation of human complement by adult pig islets after prolonged culture have hitherto not been described. MATERIALS AND METHODS:Freshly isolated and cultured islets were analyzed by fluorescence-activated cell sorter analysis, fluorescence microscopy, and imm...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199705270-00015

    authors: Mirenda V,Le Mauff B,Cassard A,Huvelin JM,Boeffard F,Faivre A,Soulillou JP,Anegon I

    更新日期:1997-05-27 00:00:00

  • The results of reduced-size liver transplantation, including split livers, in patients with end-stage liver disease.

    abstract::We initiated a policy of using RSLT in critically ill patients in June of 1988. Since that time we have performed 30 RSLTs in 29 patients, including 28 children and 1 adult. The mean age of the children was 27 months (range 1 month to 10 years) with 14 (52%) being 1 year of age or less. The mean weight was 11.3 kg (ra...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199202010-00023

    authors: Langnas AN,Marujo WC,Inagaki M,Stratta RJ,Wood RP,Shaw BW Jr

    更新日期:1992-02-01 00:00:00

  • External Validation of the DynPG for Kidney Transplant Recipients.

    abstract:BACKGROUND:In kidney transplantation, dynamic prediction of patient and kidney graft survival (DynPG) may help to promote therapeutic alliance by delivering personalized evidence-based information about long-term graft survival for kidney transplant recipients. The objective of the current study is to externally valida...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003209

    authors: Lenain R,Dantan E,Giral M,Foucher Y,Asar Ö,Naesens M,Hazzan M,Fournier MC

    更新日期:2021-02-01 00:00:00

  • Determination of tolerance to self E alpha peptides by clonal elimination of H-2E reactive T cells and antigen presentation by H-2A molecules.

    abstract::A series of three synthetic peptides spanning H-2E alpha k chain residues (90-110), (110-130), and (130-150) were synthesized and purified. Mice representative of H-2E- (B6, B10, B10.M, B10.Q, B10.S) and H-2E+ (B10.D2, B10.K, B10.RIII) were immunized with individual peptides and lymph node cells challenged in vitro. B...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199211000-00029

    authors: Krco CJ,Beito TG,David CS

    更新日期:1992-11-01 00:00:00

  • Apoptosis and chemokine induction after renal ischemia-reperfusion.

    abstract:BACKGROUND:One of the earliest prerequisites for the development of inflammation after ischemia-reperfusion (I/R) is local chemokine expression. We recently demonstrated that apoptosis, characterized by intracellular caspase-activation, contributes to the development of inflammation after I/R. METHODS:The contribution...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200104150-00032

    authors: Daemen MA,de Vries B,van't Veer C,Wolfs TG,Buurman WA

    更新日期:2001-04-15 00:00:00

  • Efficacy and safety of adefovir dipivoxil in kidney recipients, hemodialysis patients, and patients with renal insufficiency.

    abstract:BACKGROUND:This study analyzes the biochemical, serological, and virological efficacy and the safety of adefovir dipivoxil in patients with renal disturbances. METHODS:Twelve patients with lamivudine-resistant hepatitis B virus (HBV) chronic infection were treated for a median time of 15 (3-19) months. The daily dosag...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.tp.0000178305.39231.a2

    authors: Fontaine H,Vallet-Pichard A,Chaix ML,Currie G,Serpaggi J,Verkarre V,Varaut A,Morales E,Nalpas B,Brosgart C,Pol S

    更新日期:2005-10-27 00:00:00

  • Copeptin, a surrogate marker of vasopressin, is associated with accelerated renal function decline in renal transplant recipients.

    abstract:BACKGROUND:Chronically elevated vasopressin (VP) plasma levels have been shown to induce accelerated renal function decline in rats with chronic renal failure. Whether endogenous VP is a renal risk factor in humans has not been investigated yet. We aimed to investigate whether, in renal transplant recipients, VP concen...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181b11ae4

    authors: Meijer E,Bakker SJ,de Jong PE,Homan van der Heide JJ,van Son WJ,Struck J,Lems SP,Gansevoort RT

    更新日期:2009-08-27 00:00:00

  • Failure of a CD18/anti-LFA1 monoclonal antibody infusion to prevent graft rejection in leukemic patients receiving T-depleted allogeneic bone marrow transplantation.

    abstract::CD18 antibodies react with the common beta chain of the human leukocyte function antigen (LFA1)* and thus block the functions mediated by the three identified molecules in humans. A murine CD18 monoclonal antibody was infused in 8 leukemic patients receiving allogeneic T-depleted bone marrow transplantation in order t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198903000-00014

    authors: Baume D,Kuentz M,Pico JL,Beaujean F,Cordonnier C,Vernant JP,Hayat M,Bernard A

    更新日期:1989-03-01 00:00:00

  • Analysis of rejection mechanism in the rat to mouse cardiac xenotransplantation. Role and characteristics of anti-endothelial cell antibodies.

    abstract::Recent reports have demonstrated that humoral factors, especially antibodies elicited by xenoantigens, play an important role in the rejection of concordant cardiac xenografts. These induced antibodies, however, have not been well characterized. Therefore, we investigated the rejection mechanism, especially the role o...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Matsumiya G,Shirakura R,Miyagawa S,Izutani H,Sawa Y,Nakata S,Matsuda H

    更新日期:1994-06-15 00:00:00

  • Clinical and economic impact of flow cytometry crossmatching in primary cadaveric kidney and simultaneous pancreas-kidney transplant recipients.

    abstract::We retrospectively compared the clinical and financial impact of a final cross-match by T cell flow cytometry (FXM) versus conventional complement-dependent cytotoxicity (CXM) in consecutive primary cadaveric kidney (K) and primary simultaneous cadaveric pancreas-kidney (SPK) transplant recipients. Mean follow-up was ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199706150-00018

    authors: Pelletier RP,Orosz CG,Adams PW,Bumgardner GL,Davies EA,Elkhammas EA,Henry ML,Ferguson RM

    更新日期:1997-06-15 00:00:00