000			03202na a2200349 4500
003			H12O
005			20180417105942.0
008			130622s2010 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_aAndrés Belmonte, Amado _91321 _eNefrología
100			_aDíaz González, Rafael _9946 _eUrología
100			_9219 _aDomínguez Esteban, Mario _eUrología
100			_9358 _aJiménez Romero, Carlos _eCirugía General y del Aparato Digestivo
100			_9360 _aManrique Municio, Alejandro _eCirugía General y del Aparato Digestivo
100			_aMedina Polo, José _91794 _eUrología
100			_9576 _aMorales Cerdán, José María _eNefrología
100			_9510 _aMoreno González, Enrique _eCirugía General y del Aparato Digestivo
100			_aPamplona Casamayor, Manuel _91933 _eUrología
245	0	0	_aCardiovascular events after simultaneous pancreas-kidney transplantation _h[artículo[
260			_bTransplantation Proceedings, _c2010
300			_a42(8):2981-2983.
500			_aFormato Vancouver: Medina-Polo J, Domínguez-Esteban M, Morales JM, Pamplona M, Andrés A, Jiménez C, et al. Cardiovascular events after simultaneous pancreas-kidney transplantation. Transplant Proc. 2010;42(8):2981-3.
501			_aPMID: 20970588
504			_aContiene 9 referencias
520			_aTo retrospectively evaluate the incidence of cardiovascular events after functioning simultaneous pancreas-kidney transplantation (SPKT). PATIENTS AND METHODS: Cardiovascular events after 89 SPKT procedures performed at our institution from March 1995 to March 2009 were investigated. Study criteria included normal functioning of both grafts. Patients included 36 women and 53 men, with mean (range) age of 37.7 (25-66) years. Duration of diabetes mellitus was 23.6 (10-48) years, and of dialysis therapy was 19.8 (0-70) months. The exocrine pancreatic secretions were drained to the bladder in 41 patients, and enterically in 45 patients. Mean (SD) follow-up was 58.62 (34.74) months. RESULTS: During follow-up after SPKT, 9 patients (10.1%) experienced cardiovascular events including cerebrovascular accident in 4 patients, myocardial infarction (MI) in 3, and episodes of angina pectoris without evidence of coronary artery disease in 2 patients. Nevertheless, these two patients had sustained an MI that required coronary angioplasty before SPKT. Moreover, coronary angioplasty was required in 2 patients before they were enrolled in the transplantation program because of silent coronary artery disease. Four of 9 cardiovascular events occurred in the perioperative period. No deaths occurred due to cardiovascular events. Patient survival rate was 100%, with both grafts functioning in 87 (97.8%). CONCLUSION: Cardiovascular events occur relatively frequently in patients undergoing SPKT. In the present study, most events occurred in the perioperative period, but did not result in death.
710			_9271 _aServicio de Cirugía General y del Aparato Digestivo
710			_986 _aServicio de Nefrología
710			_9220 _aServicio de Urología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc12478.pdf _ySolicitar documento
942			_n0 _2ddc _cART
999			_c12478 _d12478