Impact of Preprocurement Cardiac Arrest in Brain-Dead Donors on the Outcome of Pancreas Transplantation

Minyan Zheng; Yue Wu; Jie Xiang; Li Wang; Zhiwei Li; Feng Gao

doi:10.1016/j.transproceed.2024.11.011

Impact of Preprocurement Cardiac Arrest in Brain-Dead Donors on the Outcome of Pancreas Transplantation

Transplant Proc. 2024 Nov 27:S0041-1345(24)00549-9. doi: 10.1016/j.transproceed.2024.11.011. Online ahead of print.

Authors

Minyan Zheng¹, Yue Wu¹, Jie Xiang¹, Li Wang¹, Zhiwei Li¹, Feng Gao²

Affiliations

¹ Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
² Department of Urological Surgery, Weifang People's Hospital, Shandong, China. Electronic address: xumenggf123@163.com.

PMID: 39609177
DOI: 10.1016/j.transproceed.2024.11.011

Abstract

Background: This study aimed to determine the risk factors and whether cardiac arrest (CA) in brain-death donors (DBD) could affect pancreas transplantation outcomes.

Methods: We analyzed data from the Scientific Registry of Transplant Recipients (2000-2020). The study included 21,499 pancreas transplantations, divided into CA-DBD and noCA-DBD groups based on whether the DBD had a history of CA.

Results: There were 1129 CA-DBD (5.3%) transplantations. The principal donor death cause for both groups was head trauma. Graft and patient survival rates were similar in both groups. CA time (CAT) was a risk factor for pancreatic graft survival in the univariate analysis (hazard ratio [HR], 1.05; 95% confidence interval [CI], 1.03-1.08; P = .010) and multivariate Cox regression model (HR, 1.03; 95% CI, 1.02-1.04; P =.015). Pancreas graft survival in those with CAT ≥30 minutes was significantly lower than in those with CAT <30 minutes and the noCA-DBD group (log-rank P = .018 and P = .014, respectively), which were comparable (log-rank P = .711). No relationships were found among the various transplantation types.

Conclusions: CA in donors did not affect the pancreatic graft prognosis. However, pancreatic donors with CAT ≥30 minutes should be meticulously evaluated.