Evidence map›Paper›PMID 41648873›Full record

ArticleIntestinal Failure (New York, N.Y.)

Multivisceral Transplantation as curative Treatment for patients with Diffuse Splanchnic Arterial Ischemia: a case report.

Caroline Boelhouwer, Aksharaa Iyer, Antoine Dubois, Lawrence Bonne, Geert Maleux, Inge Fourneau, Sabrina Houthoofd, Albert Wolthuis, Philippe Nafteux, Hans Van Veer and 6 more

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Intestinal Failure (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Caroline BoelhouwerLeuven Intestinal Failure and Transplantation (LIFT), University Hospitals Leuven, Leuven, Belgium.
Aksharaa IyerDepartment of Abdominal Transplant Surgery and Coordination, University Hospitals Leuven, Leuven, Belgium.
Antoine DuboisLeuven Intestinal Failure and Transplantation (LIFT), University Hospitals Leuven, Leuven, Belgium.
Lawrence BonneDepartment of Radiology, University Hospitals Leuven, Leuven, Belgium.
Geert MaleuxLeuven Intestinal Failure and Transplantation (LIFT), University Hospitals Leuven, Leuven, Belgium.
Inge FourneauDepartment of Vascular Surgery, University Hospitals Leuven, Leuven, Belgium.
Sabrina HouthoofdDepartment of Vascular Surgery, University Hospitals Leuven, Leuven, Belgium.
Albert WolthuisLeuven Intestinal Failure and Transplantation (LIFT), University Hospitals Leuven, Leuven, Belgium.
Philippe NafteuxDepartment of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.
Hans Van VeerDepartment of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.
Mauricio SainzLeuven Intestinal Failure and Transplantation (LIFT), University Hospitals Leuven, Leuven, Belgium.
Diethard MonbaliuLeuven Intestinal Failure and Transplantation (LIFT), University Hospitals Leuven, Leuven, Belgium.
Lucas WautersLeuven Intestinal Failure and Transplantation (LIFT), University Hospitals Leuven, Leuven, Belgium.
Tim VanuytselLeuven Intestinal Failure and Transplantation (LIFT), University Hospitals Leuven, Leuven, Belgium.
Laurens J CeulemansLeuven Intestinal Failure and Transplantation (LIFT), University Hospitals Leuven, Leuven, Belgium.
Jacques PirenneLeuven Intestinal Failure and Transplantation (LIFT), University Hospitals Leuven, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Criteria for multivisceral transplantation (MVTx) have broadened. However, diffuse splanchnic arterial ischemia secondary to visceral arterial thrombosis has only been described once. Case report: A 46-year-old woman with acute-on-chronic diffuse splanchnic ischemia received a MVTx from a 14-year-old braindead donor. Cold ischemia time was 6h29, warm ischemia time 0h36. Pre-operative embolization of inferior mesenteric artery was performed and the patient was placed on continuous veno-venous hemofiltration. An aortic conduit was constructed. Non-vascularized-rectus-fascia transplantation was performed. Postoperative course was hindered by kinking of superior mesenteric artery (SMA) (requiring stenting), acute cellular rejection of intestine (early) and liver (late) (requiring high-dose solumedrol) and esophagogastric anastomotic leakage (requiring endoscopic vacuum assisted closure). At 11 months, she is alive and well. She is able to have oral intake. Conclusion: MVTx is a curative treatment for diffuse arterial splanchnic ischemia secondary to thrombosis of both the coeliac trunk and the SMA, a condition otherwise rapidly fatal.

Indexed as

Diffuse splanchnic arterial ischemiaLiver rejectionMultivisceral transplantation

Identifiers

PMID41648873
PMCPMC12851380

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.