Kidney damage during organ retrieval: data from UK National Transplant Database

Wigmore, Stephen J.; Seeney, Frances; Pleass, Henry; Praseedom, R. K.; Forsythe, John

doi:10.1016/s0140-6736(98)09409-4

Cited by 50 publications

(54 citation statements)

References 4 publications

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“…Although large analyses of procurement-related surgical injuries have been undertaken for the liver (7-10) and kidney (11)(12)(13), previous reports on pancreatic injuries in solid organ transplantation have come from small series only (14,15). In this study, the UK Transplant Registry was analyzed to determine the frequency of pancreatic injuries during procurement, identify factors associated with damage, and assess the impact of procurement injuries on pancreas allograft survival.…”

Section: Introductionmentioning

confidence: 99%

A Registry Analysis of Damage to the Deceased Donor Pancreas During Procurement

Ausania

Drage

Manas

et al. 2015

American Journal of Transplantation

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Surgical injury to the pancreas is thought to occur commonly during procurement. The UK Transplant Registry was analyzed to determine the frequency of pancreatic injuries, identify factors associated with damage, and assess the impact of injuries on graft survival. Twelve hundred ninety-six pancreata were procured from donation after brain death donors, with 314 (19.5%) from donation after circulatory death donors. More than 50% of recovered pancreata had at least one injury, most commonly a short portal vein (21.5%). Liver donation, procurement team origin, hepatic artery (HA) arising from the superior mesenteric artery (SMA), and increasing donor BMI were associated with increased rates of pancreas damage on univariate analyses; on multivariate analysis only the presence of an HA from the SMA remained significant (p ¼ 0.02). Six hundred forty solid organ pancreas transplants were performed; 238 had some form of damage. Overall, there was no difference in graft survival between damaged and undamaged organs (p ¼ 0.28); however, graft loss was significantly more frequent in pancreata with arterial damage (p ¼ 0.04) and in those with parenchymal damage (p ¼ 0.05). Damage to the pancreas during organ recovery is more common than other organs, and meticulous surgical technique and awareness of damage risk factors are essential to reduce rates of procurement-related injuries.

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Section: Introductionmentioning

confidence: 99%

A Registry Analysis of Damage to the Deceased Donor Pancreas During Procurement

Ausania

Drage

Manas

et al. 2015

American Journal of Transplantation

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“…Retrieval: A common retrieval injury is inadvertent division of an accessory renal artery, and such vascular damage is a common reason for nonuse of a kidney (2,30); it should be assumed that there might be multiple renal arteries until it is clear that this is not the case. Care should be taken to identify any lower polar right renal artery crossing anteriorly if dividing the IVC longitudinally.…”

Section: Arterial Anomaliesmentioning

confidence: 99%

“…Damage to aberrant vessels has been reported to be associated with inferior graft and patient survival (1)(2)(3). Knowledge of typical variants will aid retrieval surgeons in knowing where aberrant vessels may be situated in order to avoid damaging them.…”

Section: Introductionmentioning

confidence: 99%

Anatomical Variation and Its Management in Transplantation

Watson

Harper

2015

American Journal of Transplantation

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“…This in turn formed the basis of evidencebased guidelines on managing the infertile couple. 23 Another example is the use of the National Transplant Database to show the benefits of human leucocyte antigen (HLA) matching 24,25 and to identify best methods of cadaveric organ retrieval. 26 In England, the Hospital Episode Statistics (HES) have been used to explore variations in clinical outcomes.…”

Section: Signs Of Progressmentioning

confidence: 99%

“…Notable exceptions include the HFEA database, which has been used to show factors associated with successful birth, 22 and the National Transplant Database, which has been used to show the benefits of HL assessment matching 24,25 and to identify best methods of cadaveric organ retrieval. 26 Although the degree to which the statutory nature of each of the databases facilitated there for such analyses is unclear, this may have helped make the databases accessible to bona fide researchers.…”

Section: Use In Ht Assessmentmentioning

confidence: 99%

Potential use of routine databases in health technology assessment

Raftery

Roderick²,

Stevens³

2005

Health Technol Assess

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Kidney damage during organ retrieval: data from UK National Transplant Database

Cited by 50 publications

References 4 publications

A Registry Analysis of Damage to the Deceased Donor Pancreas During Procurement

A Registry Analysis of Damage to the Deceased Donor Pancreas During Procurement

Anatomical Variation and Its Management in Transplantation

Potential use of routine databases in health technology assessment

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