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Pancreas Transplant Vascular Complications
Ashish P. Wasnik, MD, FSAR; Jade Wong-You-Cheong, MBChB, MRCP, FRCR, FSRU, FSAR
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        TERMINOLOGY

        • Synonyms

          • Pancreas graft vascular complication
        • Definitions

          • Pancreas graft complication related to vascular etiologies & includes graft venous/arterial thrombosis, arterial stenosis, arterial pseudoaneurysm, arteriovenous (AV) fistula

        IMAGING

        • General Features

          • CT Findings

            • MR Findings

              • Ultrasonographic Findings

                • Other Modality Findings

                  • Imaging Recommendations

                    PATHOLOGY

                    • General Features

                      CLINICAL ISSUES

                      • Presentation

                        • Natural History & Prognosis

                          • Treatment

                            DIAGNOSTIC CHECKLIST

                            • Consider

                              • Reporting Tips

                                Selected References

                                1. Wasnik AP et al: Multimodality imaging of pancreas-kidney transplants. Clin Imaging. 69:185-95, 2021
                                2. Perez Daga JA et al: Immediate post-operative complications (I): post-operative bleeding; vascular origin: Thrombosis pancreatitis. World J Transplant. 10(12):415-21, 2020
                                3. Swensson J et al: Contrast-enhanced ultrasound versus Doppler ultrasound for detection of early vascular complications of pancreas grafts. AJR Am J Roentgenol. 215(5):1093-7, 2020
                                4. Morelli L et al: Gray-scale, Doppler and contrast-enhanced ultrasound in pancreatic allograft surveillance: a systematic literature review. Transplant Rev (Orlando). 33(3):166-72, 2019
                                5. Harbell JW et al: Splenic vein thrombosis following pancreas transplantation: identification of factors that support conservative management. Am J Transplant. 17(11):2955-62, 2017
                                6. Yadav K et al: Significant arterial complications after pancreas transplantation-a single-center experience and review of literature. Clin Transplant. 31(10), 2017
                                7. O'Malley RB et al: Imaging of pancreas transplantation and its complications. Radiol Clin North Am. 54(2):251-66, 2016
                                8. Tolat PP et al: Pancreas transplant imaging: how I do it. Radiology. 275(1):14-27, 2015
                                9. Heller MT et al: Kidney-pancreas transplantation: assessment of key imaging findings in the acute setting. Emerg Radiol. 19(6):527-33, 2012
                                10. Vandermeer FQ et al: Imaging of whole-organ pancreas transplants. Radiographics. 32(2):411-35, 2012
                                11. Liong SY et al: Complications following pancreatic transplantations: imaging features. Abdom Imaging. 36(2):206-14, 2011
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Clinical Issues

                                      TERMINOLOGY

                                      • Synonyms

                                        • Pancreas graft vascular complication
                                      • Definitions

                                        • Pancreas graft complication related to vascular etiologies & includes graft venous/arterial thrombosis, arterial stenosis, arterial pseudoaneurysm, arteriovenous (AV) fistula

                                      IMAGING

                                      • General Features

                                        • CT Findings

                                          • MR Findings

                                            • Ultrasonographic Findings

                                              • Other Modality Findings

                                                • Imaging Recommendations

                                                  PATHOLOGY

                                                  • General Features

                                                    CLINICAL ISSUES

                                                    • Presentation

                                                      • Natural History & Prognosis

                                                        • Treatment

                                                          DIAGNOSTIC CHECKLIST

                                                          • Consider

                                                            • Reporting Tips

                                                              Selected References

                                                              1. Wasnik AP et al: Multimodality imaging of pancreas-kidney transplants. Clin Imaging. 69:185-95, 2021
                                                              2. Perez Daga JA et al: Immediate post-operative complications (I): post-operative bleeding; vascular origin: Thrombosis pancreatitis. World J Transplant. 10(12):415-21, 2020
                                                              3. Swensson J et al: Contrast-enhanced ultrasound versus Doppler ultrasound for detection of early vascular complications of pancreas grafts. AJR Am J Roentgenol. 215(5):1093-7, 2020
                                                              4. Morelli L et al: Gray-scale, Doppler and contrast-enhanced ultrasound in pancreatic allograft surveillance: a systematic literature review. Transplant Rev (Orlando). 33(3):166-72, 2019
                                                              5. Harbell JW et al: Splenic vein thrombosis following pancreas transplantation: identification of factors that support conservative management. Am J Transplant. 17(11):2955-62, 2017
                                                              6. Yadav K et al: Significant arterial complications after pancreas transplantation-a single-center experience and review of literature. Clin Transplant. 31(10), 2017
                                                              7. O'Malley RB et al: Imaging of pancreas transplantation and its complications. Radiol Clin North Am. 54(2):251-66, 2016
                                                              8. Tolat PP et al: Pancreas transplant imaging: how I do it. Radiology. 275(1):14-27, 2015
                                                              9. Heller MT et al: Kidney-pancreas transplantation: assessment of key imaging findings in the acute setting. Emerg Radiol. 19(6):527-33, 2012
                                                              10. Vandermeer FQ et al: Imaging of whole-organ pancreas transplants. Radiographics. 32(2):411-35, 2012
                                                              11. Liong SY et al: Complications following pancreatic transplantations: imaging features. Abdom Imaging. 36(2):206-14, 2011