Abstract
Simultaneous kidney and pancreatic transplant is the criterion standard for treatment of end-stage renal failure because of diabetic nephropathy. Venous thrombosis occurs in approximately 5% of pancreatic transplants, and it is notoriously difficult to treat, forming the most common nonimmunologic cause of graft loss. We report a case of early detection of pancreatic graft venous thrombosis by measuring urinary amylase, resulting in the successful endovascular salvage of the pancreatic graft.
MeSH terms
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Amylases / urine
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Biomarkers / urine
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Diabetes Mellitus, Type 1 / complications
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Diabetic Nephropathies / diagnosis
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Diabetic Nephropathies / etiology
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Diabetic Nephropathies / surgery*
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Early Diagnosis
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Endovascular Procedures*
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Female
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Humans
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Kidney Failure, Chronic / diagnosis
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Kidney Failure, Chronic / etiology
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Kidney Failure, Chronic / surgery*
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Kidney Transplantation
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Middle Aged
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Pancreas Transplantation / adverse effects*
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Phlebography
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Predictive Value of Tests
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Radiography, Interventional
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Thrombectomy / methods*
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Time Factors
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Treatment Outcome
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Venous Thrombosis / diagnosis
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Venous Thrombosis / etiology
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Venous Thrombosis / therapy*
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Venous Thrombosis / urine