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Fifty-three SPK patients were studied with a mean age of 42.7 years and a mean BMI of 25.6 kg/m 2 . Vascular calcifications were found in 74% of patients. Calcifications were most commonly present in the abdominal aorta (57% of patients). On logistic regression, only the abdominal aorta Agatston score was found to be associated with major complications (p-value¼.037). There was no association between the vascular Agatston scores and graft loss or mortality.CONCLUSION: Vascular calcifications are commonly found in patients undergoing SPK transplantation and may contribute to increased morbidity from major complications. This is likely a result of global atherosclerotic disease burden and not just at the site of the arterial anastomosis.

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