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This study reports the comparative short-term results of pancreas transplantation from donors after circulatory death (DCD) (Maastricht III & IV), and pancreases from brainstem deceased donors (DBD). Between January 2006 and December 2010, 1009 pancreas transplants were performed in the United Kingdom, with 134 grafts from DCD and 875 from DBD. DCD grafts had no premortem pharmacological interventions performed. One-year pancreas and patient survival was similar between DCD and DBD, with pancreas graft survival significantly better in the DCD cohort if performed as an SPK. Early graft loss due to thrombosis (8% vs. 4%) was mainly responsible for early graft loss in the DCD cohort. These results from donors with broader acceptance criteria in age, body mass index, premortem interventions, etc. suggest that DCD pancreas grafts may have a larger application potential than previously recognized.

Original publication

DOI

10.1111/j.1600-6143.2012.04075.x

Type

Journal article

Journal

Am J Transplant

Publication Date

08/2012

Volume

12

Pages

2150 - 2156

Keywords

Adolescent, Adult, Cause of Death, Child, Child, Preschool, Female, Graft Rejection, Humans, Male, Middle Aged, Pancreas Transplantation, Shock, Tissue Donors, United Kingdom, Young Adult