The Role of Imaging in Patient Selection, Preoperative Planning, and Postoperative Monitoring in Human Upper Extremity Allotransplantation
Objective. To describe the role of imaging in vascular composite allotransplantation based on one institution’s experience with upper extremity allotransplant patients. Methods. The institutional review board approved this review of HIPAA-compliant patient data without the need for individual consen...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Journal of Transplantation |
| Online Access: | http://dx.doi.org/10.1155/2014/169546 |
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| author | Eira S. Roth David G. Buck Vijay S. Gorantla Joseph E. Losee Daniel E. Foust Cynthia A. Britton |
| author_facet | Eira S. Roth David G. Buck Vijay S. Gorantla Joseph E. Losee Daniel E. Foust Cynthia A. Britton |
| author_sort | Eira S. Roth |
| collection | DOAJ |
| description | Objective. To describe the role of imaging in vascular composite allotransplantation based on one institution’s experience with upper extremity allotransplant patients. Methods. The institutional review board approved this review of HIPAA-compliant patient data without the need for individual consent. A retrospective review was performed of imaging from 2008 to 2011 on individuals undergoing upper extremity transplantation. This demonstrated that, of the 19 patients initially considered, 5 patients with a mean age of 37 underwent transplantation. Reports were correlated clinically to delineate which preoperative factors lead to patient selection versus disqualification and what concerns dictated postoperative imaging. Findings were subdivided into musculoskeletal and vascular imaging criterion. Results. Within the screening phase, musculoskeletal exclusion criterion included severe shoulder arthropathy, poor native bone integrity, and marked muscular atrophy. Vascular exclusion criterion included loss of sufficient arterial or venous supply and significant distortion of the native vascular architecture. Postoperative imaging was used to document healing and hardware integrity. Postsurgical angiography and ultrasound were used to monitor for endothelial proliferation or thrombosis as signs of rejection and vascular complication. Conclusion. Multimodality imaging is an integral component of vascular composite allotransplantation surgical planning and surveillance to maximize returning form and functionality while minimizing possible complications. |
| format | Article |
| id | doaj-art-bced91b0ac3347c2995dd11eb3bc23ce |
| institution | Kabale University |
| issn | 2090-0007 2090-0015 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Transplantation |
| spelling | doaj-art-bced91b0ac3347c2995dd11eb3bc23ce2025-02-03T05:48:08ZengWileyJournal of Transplantation2090-00072090-00152014-01-01201410.1155/2014/169546169546The Role of Imaging in Patient Selection, Preoperative Planning, and Postoperative Monitoring in Human Upper Extremity AllotransplantationEira S. Roth0David G. Buck1Vijay S. Gorantla2Joseph E. Losee3Daniel E. Foust4Cynthia A. Britton5Department of Diagnostic Radiology, University of Pittsburgh Medical Center (UPMC), C/o Patricia O’Kelly, 200 Lothrop Street Presbyterian South Tower Suite 3950, Pittsburgh, PA 15213, USADepartment of Interventional Radiology, The Western Pennsylvania Hospital, 4800 Friendship Avenue, Pittsburgh, PA 14224, USADepartment of Plastic Surgery, University of Pittsburgh Medical Center, 3550 Terrace Street Scaife Hall, Suite 678, Pittsburgh, PA 15261, USADepartment of Plastic Surgery, University of Pittsburgh Medical Center, 3550 Terrace Street Scaife Hall, Suite 678, Pittsburgh, PA 15261, USADepartment of Plastic Surgery, University of Pittsburgh Medical Center, 3550 Terrace Street Scaife Hall, Suite 678, Pittsburgh, PA 15261, USADepartment of Diagnostic Radiology, University of Pittsburgh Medical Center (UPMC), C/o Patricia O’Kelly, 200 Lothrop Street Presbyterian South Tower Suite 3950, Pittsburgh, PA 15213, USAObjective. To describe the role of imaging in vascular composite allotransplantation based on one institution’s experience with upper extremity allotransplant patients. Methods. The institutional review board approved this review of HIPAA-compliant patient data without the need for individual consent. A retrospective review was performed of imaging from 2008 to 2011 on individuals undergoing upper extremity transplantation. This demonstrated that, of the 19 patients initially considered, 5 patients with a mean age of 37 underwent transplantation. Reports were correlated clinically to delineate which preoperative factors lead to patient selection versus disqualification and what concerns dictated postoperative imaging. Findings were subdivided into musculoskeletal and vascular imaging criterion. Results. Within the screening phase, musculoskeletal exclusion criterion included severe shoulder arthropathy, poor native bone integrity, and marked muscular atrophy. Vascular exclusion criterion included loss of sufficient arterial or venous supply and significant distortion of the native vascular architecture. Postoperative imaging was used to document healing and hardware integrity. Postsurgical angiography and ultrasound were used to monitor for endothelial proliferation or thrombosis as signs of rejection and vascular complication. Conclusion. Multimodality imaging is an integral component of vascular composite allotransplantation surgical planning and surveillance to maximize returning form and functionality while minimizing possible complications.http://dx.doi.org/10.1155/2014/169546 |
| spellingShingle | Eira S. Roth David G. Buck Vijay S. Gorantla Joseph E. Losee Daniel E. Foust Cynthia A. Britton The Role of Imaging in Patient Selection, Preoperative Planning, and Postoperative Monitoring in Human Upper Extremity Allotransplantation Journal of Transplantation |
| title | The Role of Imaging in Patient Selection, Preoperative Planning, and Postoperative Monitoring in Human Upper Extremity Allotransplantation |
| title_full | The Role of Imaging in Patient Selection, Preoperative Planning, and Postoperative Monitoring in Human Upper Extremity Allotransplantation |
| title_fullStr | The Role of Imaging in Patient Selection, Preoperative Planning, and Postoperative Monitoring in Human Upper Extremity Allotransplantation |
| title_full_unstemmed | The Role of Imaging in Patient Selection, Preoperative Planning, and Postoperative Monitoring in Human Upper Extremity Allotransplantation |
| title_short | The Role of Imaging in Patient Selection, Preoperative Planning, and Postoperative Monitoring in Human Upper Extremity Allotransplantation |
| title_sort | role of imaging in patient selection preoperative planning and postoperative monitoring in human upper extremity allotransplantation |
| url | http://dx.doi.org/10.1155/2014/169546 |
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