Pretransplant Evaluation and Cardiac Risk Assessment
One crucial factor in ensuring successful outcomes after pancreas transplants is the comprehensive pretransplant evaluation of potential recipients. Proper patient selection is obviously key in any transplant procedure. But, identifying obvious contraindications or excluding poor candidates is only one small aspect of the pretransplant evaluation. Candidates classified as “high risk” may not necessarily have absolute contraindications to surgery; with proper preparation, they can expect to have a good chance for a successful outcome posttransplant. Therefore, a more important goal of the pretransplant evaluation should be to prepare the potential recipient so that he or she is in the best possible condition by the time the transplant is performed. This preparation involves identifying any significant risk factors that could be altered and dealing with medical problems that may lead to complications peri- or posttransplant. Even risk factors that cannot be altered are best identified pretransplant because they may affect posttransplant care. The potential recipient must also be psychologically prepared for the transplant, ideally through providing education on the many different aspects of transplantation.
KeywordsLiving Donor Constrictive Pericarditis Pancreas Transplant Dobutamine Stress Echocardiography Transplant Candidate
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- 9.Hiesse C, Buffet C, Neyrat N, et al. Impact of hepatitis B antigenemia on long-term patient survival and causes of death after renal transplantation. Clin Transplant 1992; 46: 461–467.Google Scholar
- 22.Humar A, Kandaswamy R, Drangstveit MB, et al. Surgical complications in obese pancreas transplant recipients. Transplantation 2000; 69: S212.Google Scholar
- 23.Humar A, Kandaswamy R, Ramcharan T, et al. A multivariate analysis of risk factors for acute rejection in pancreas transplant recipients. Am J Transplant 2001; 1 (suppl 1): 212.Google Scholar
- 28.Humar A, Gruessner R, Sutherland D. Living related donor pancreas and pancreas-kidney transplantation. Br Med Bull 1997;53(4).Google Scholar