{"id":"https://openalex.org/W2631677671","doi":"https://doi.org/10.1097/01.tp.0000521434.53767.19","title":"Outcomes of Isolated Pediatric Small Intestine Transplants Using Vascular Homografts","display_name":"Outcomes of Isolated Pediatric Small Intestine Transplants Using Vascular Homografts","publication_year":2017,"publication_date":"2017-06-01","ids":{"openalex":"https://openalex.org/W2631677671","doi":"https://doi.org/10.1097/01.tp.0000521434.53767.19","mag":"2631677671"},"language":"en","primary_location":{"id":"doi:10.1097/01.tp.0000521434.53767.19","doi":"https://doi.org/10.1097/01.tp.0000521434.53767.19","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.tp.0000521434.53767.19","pdf_url":null,"source":{"id":"https://openalex.org/S11564597","display_name":"Transplantation","issn_l":"0041-1337","issn":["0041-1337","1534-6080"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Transplantation","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5051185612","display_name":"Raffaele Girlanda","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799903593","display_name":"Georgetown University Medical Center","ror":"https://ror.org/00hjz7x27","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799903593"]},{"id":"https://openalex.org/I2802534011","display_name":"MedStar Georgetown University Hospital","ror":"https://ror.org/03ja1ak26","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802534011","https://openalex.org/I86755215"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Raffaele Girlanda","raw_affiliation_strings":["Transplant Institute, MedStar Georgetown University Hospital, Washington, DC, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Transplant Institute, MedStar Georgetown University Hospital, Washington, DC, United States","institution_ids":["https://openalex.org/I2799903593","https://openalex.org/I2802534011"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054801119","display_name":"Yong Kwon","orcid":"https://orcid.org/0000-0002-6026-5532","observed_orcids":["https://orcid.org/0000-0002-6026-5532"]},"institutions":[{"id":"https://openalex.org/I1302163369","display_name":"Hartford Hospital","ror":"https://ror.org/00gt5xe03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1302163369"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yong K. Kwon","raw_affiliation_strings":["Transplant Program and Comprehensive Liver Center, Hartford Hospital, Hartford, CT, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Transplant Program and Comprehensive Liver Center, Hartford Hospital, Hartford, CT, United States","institution_ids":["https://openalex.org/I1302163369"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016783165","display_name":"Alexander Kroemer","orcid":"https://orcid.org/0000-0002-9842-4973","observed_orcids":["https://orcid.org/0000-0002-9842-4973"]},"institutions":[{"id":"https://openalex.org/I2799903593","display_name":"Georgetown University Medical Center","ror":"https://ror.org/00hjz7x27","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799903593"]},{"id":"https://openalex.org/I2802534011","display_name":"MedStar Georgetown University Hospital","ror":"https://ror.org/03ja1ak26","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802534011","https://openalex.org/I86755215"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alexander Kroemer","raw_affiliation_strings":["Transplant Institute, MedStar Georgetown University Hospital, Washington, DC, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Transplant Institute, MedStar Georgetown University Hospital, Washington, DC, United States","institution_ids":["https://openalex.org/I2799903593","https://openalex.org/I2802534011"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080174724","display_name":"Jason Solomon Hawksworth","orcid":"https://orcid.org/0000-0001-9432-8258","observed_orcids":["https://orcid.org/0000-0001-9432-8258"]},"institutions":[{"id":"https://openalex.org/I2799903593","display_name":"Georgetown University Medical Center","ror":"https://ror.org/00hjz7x27","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799903593"]},{"id":"https://openalex.org/I2802534011","display_name":"MedStar Georgetown University Hospital","ror":"https://ror.org/03ja1ak26","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802534011","https://openalex.org/I86755215"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jason S. Hawksworth","raw_affiliation_strings":["Transplant Institute, MedStar Georgetown University Hospital, Washington, DC, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Transplant Institute, MedStar Georgetown University Hospital, Washington, DC, United States","institution_ids":["https://openalex.org/I2799903593","https://openalex.org/I2802534011"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061730679","display_name":"Cal Matsumoto","orcid":"https://orcid.org/0000-0002-6364-1927","observed_orcids":["https://orcid.org/0000-0002-6364-1927"]},"institutions":[{"id":"https://openalex.org/I2799903593","display_name":"Georgetown University Medical Center","ror":"https://ror.org/00hjz7x27","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799903593"]},{"id":"https://openalex.org/I2802534011","display_name":"MedStar Georgetown University Hospital","ror":"https://ror.org/03ja1ak26","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802534011","https://openalex.org/I86755215"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cal S. Matsumoto","raw_affiliation_strings":["Transplant Institute, MedStar Georgetown University Hospital, Washington, DC, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Transplant Institute, MedStar Georgetown University Hospital, Washington, DC, United States","institution_ids":["https://openalex.org/I2799903593","https://openalex.org/I2802534011"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5053229497","display_name":"Thomas Fishbein","orcid":"https://orcid.org/0009-0009-8181-1828","observed_orcids":["https://orcid.org/0009-0009-8181-1828"]},"institutions":[{"id":"https://openalex.org/I2799903593","display_name":"Georgetown University Medical Center","ror":"https://ror.org/00hjz7x27","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799903593"]},{"id":"https://openalex.org/I2802534011","display_name":"MedStar Georgetown University Hospital","ror":"https://ror.org/03ja1ak26","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802534011","https://openalex.org/I86755215"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thomas M. Fishbein","raw_affiliation_strings":["Transplant Institute, MedStar Georgetown University Hospital, Washington, DC, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Transplant Institute, MedStar Georgetown University Hospital, Washington, DC, United States","institution_ids":["https://openalex.org/I2799903593","https://openalex.org/I2802534011"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.10696437,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"101","issue":"6S2","first_page":"S101","last_page":"S101"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10999","display_name":"Organ Transplantation Techniques and Outcomes","score":0.5893999934196472,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10999","display_name":"Organ Transplantation Techniques and Outcomes","score":0.5893999934196472,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10858","display_name":"Clinical Nutrition and Gastroenterology","score":0.2815000116825104,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11189","display_name":"Transplantation: Methods and Outcomes","score":0.10019999742507935,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/graft-thrombosis","display_name":"graft thrombosis","score":0.6700000166893005},{"id":"https://openalex.org/keywords/hypercoagulability","display_name":"hypercoagulability","score":0.8690000176429749},{"id":"https://openalex.org/keywords/graft-survival","display_name":"graft survival","score":0.718999981880188},{"id":"https://openalex.org/keywords/graft-reperfusion","display_name":"graft reperfusion","score":0.7039999961853027},{"id":"https://openalex.org/keywords/graft-salvage","display_name":"graft salvage","score":0.4569999873638153},{"id":"https://openalex.org/keywords/retransplantation","display_name":"retransplantation","score":0.6320000290870667},{"id":"https://openalex.org/keywords/doppler-monitoring","display_name":"Doppler monitoring","score":0.49300000071525574},{"id":"https://openalex.org/keywords/systemic-anticoagulation","display_name":"systemic anticoagulation","score":0.8389999866485596},{"id":"https://openalex.org/keywords/multivisceral-transplantation","display_name":"multivisceral transplantation","score":0.6190000176429749}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9465050101280212},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.697454571723938},{"id":"https://openalex.org/C8443397","wikidata":"https://www.wikidata.org/wiki/Q15177","display_name":"Anastomosis","level":2,"score":0.6518563032150269},{"id":"https://openalex.org/C2777882243","wikidata":"https://www.wikidata.org/wiki/Q11090","display_name":"Small intestine","level":2,"score":0.5608047246932983},{"id":"https://openalex.org/C2781046184","wikidata":"https://www.wikidata.org/wiki/Q367570","display_name":"Superior mesenteric artery","level":2,"score":0.5428473949432373},{"id":"https://openalex.org/C2911091166","wikidata":"https://www.wikidata.org/wiki/Q106419912","display_name":"Transplantation","level":2,"score":0.5407817959785461},{"id":"https://openalex.org/C2781116421","wikidata":"https://www.wikidata.org/wiki/Q3176575","display_name":"Inferior mesenteric vein","level":3,"score":0.456043541431427},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.21426469087600708},{"id":"https://openalex.org/C2779033008","wikidata":"https://www.wikidata.org/wiki/Q464543","display_name":"Portal vein","level":2,"score":0.15028667449951172}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1097/01.tp.0000521434.53767.19","doi":"https://doi.org/10.1097/01.tp.0000521434.53767.19","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.tp.0000521434.53767.19","pdf_url":null,"source":{"id":"https://openalex.org/S11564597","display_name":"Transplantation","issn_l":"0041-1337","issn":["0041-1337","1534-6080"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Transplantation","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9940000176429749}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.7799999713897705}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2791377542","https://openalex.org/W2006086340","https://openalex.org/W1971474005","https://openalex.org/W2021716890","https://openalex.org/W81453194","https://openalex.org/W2017649242","https://openalex.org/W2033111569","https://openalex.org/W2167209135","https://openalex.org/W3173247971","https://openalex.org/W2329829928"],"abstract_inverted_index":{"Introduction:":[0],"Pediatric":[1],"intestinal":[2],"transplantation":[3],"has":[4],"changed":[5],"recently":[6],"with":[7,77,84,118,128,273,297,324],"more":[8],"isolated":[9,64,309],"small":[10,16,36,65],"intestine":[11,50,66,310],"transplants":[12,53],"being":[13],"performed":[14,54],"in":[15,112,256,271,322],"children":[17],"instead":[18],"of":[19,32,35,40,62,120,137,160,224,267,286,318,329],"combined":[20],"liver-intestine":[21],"transplants.":[22],"Consequently,":[23],"surgical":[24],"techniques":[25],"have":[26],"changed,":[27],"requiring":[28,248],"a":[29,284],"frequent":[30],"use":[31],"vascular":[33,163,320],"homografts":[34,187],"caliber,":[37],"the":[38,121,135,189,222,225,278,319],"impact":[39],"which":[41],"on":[42,233,245],"outcomes":[43],"is":[44],"unknown.":[45],"Methods:":[46],"Among":[47],"106":[48],"pediatric":[49,308],"and":[51,75,81,123,145,156,176,185,209,230,238,240,261,334],"multivisceral":[52],"at":[55,221,283],"our":[56,304],"center":[57],"since":[58],"2003,":[59],"39":[60],"recipients":[61],"an":[63],"graft":[67,138,146,259,263,280],"were":[68,88,110,116,142,152,169,217,312],"reviewed.":[69],"Four":[70],"patients":[71,83,181,272,294,323],"transplanted":[72],"between":[73],"2003":[74],"2005":[76],"insufficient":[78],"medical":[79],"records":[80],"two":[82],"follow-up":[85],"<1":[86],"year":[87],"excluded.":[89],"The":[90,165,327],"remaining":[91],"33":[92],"pts,":[93],"including":[94,277],"4":[95,268],"retransplants":[96],"(16M,":[97],"17F,":[98],"median":[99,105,193,199,285],"age":[100,194],"3.3":[101],"y":[102,196],"[range":[103],"1.2-17.2],":[104],"weight":[106,200],"14.2":[107],"kg":[108,202],"[8.1-56])":[109],"included":[111],"this":[113],"study.":[114],"Grafts":[115],"monitored":[117],"Doppler":[119],"stoma":[122],"angiography":[124],"when":[125],"necessary.":[126],"Patients":[127],"hypercoagulable":[129,275,325],"state":[130],"received":[131],"systemic":[132],"anticoagulation":[133,336],"from":[134,188,290],"time":[136],"reperfusion.":[139],"Outcome":[140],"parameters":[141],"thrombotic":[143,316],"complications":[144,317],"survival.":[147],"Results:":[148],"25/33":[149],"grafts":[150,168,311],"(76%)":[151],"reperfused":[153,170],"\u201ccentrally\u201d":[154],"(aorta":[155],"vena":[157],"cava),":[158],"24":[159],"them":[161],"via":[162,171],"homograft.":[164],"other":[166],"8":[167],"native":[172],"superior":[173],"mesenteric":[174],"artery":[175,208],"vein.":[177],"Overall,":[178,282],"28/33":[179],"(85%)":[180],"required":[182],"both":[183],"arterial":[184,226],"venous":[186,242],"same":[190],"donor":[191,332],"(donor's":[192],"1.1":[195],"[2mo-23":[197],"y],":[198],"10":[201],"[14.7-48.5]),":[203],"mainly":[204],"iliac":[205,210],"or":[206,211],"carotid":[207],"innominate":[212],"vein,":[213],"respectively.":[214],"Post-transplant,":[215],"there":[216],"3":[218],"acute":[219],"thromboses":[220,269],"anastomosis":[223],"homograft":[227,243,321],"(2":[228],"central":[229],"one":[231,241],"mesenteric)":[232],"post-operative":[234],"day":[235],"0,":[236],"2":[237,257,262,279],"13":[239],"thrombosis":[244],"POD":[246],"7":[247],"urgent":[249],"percutaneous":[250],"thrombolysis":[251],"and/or":[252],"operative":[253],"thrombectomy":[254],"resulting":[255],"peri-operative":[258],"salvages":[260],"losses.":[264,281],"Three":[265],"out":[266],"occurred":[270],"primary":[274],"state,":[276],"4.1":[287],"years":[288],"(1\u201310.2)":[289],"transplant,":[291],"29/33":[292],"(88%)":[293],"are":[295,337],"alive":[296],"26/33":[298],"(79%)":[299],"functioning":[300],"grafts.":[301],"Conclusion:":[302],"In":[303],"series":[305],"2/33":[306],"(6%)":[307],"lost":[313],"due":[314],"to":[315],"state.":[326],"procurement":[328],"intact,":[330],"size-matched":[331],"vessels":[333],"post-transplant":[335],"critical.":[338]},"counts_by_year":[],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2017-06-30T00:00:00"}