Our Approach to Pancreatic Transplantation
We're ranked in the top 1% of all hospitals in the nation for diabetes and endocrinology according to U.S. News & World Report and are an international referral site for the most complex pancreas transplant cases. One of the largest and most successful programs in the nation, our pancreas transplant outcomes are among the best in the nation with three-year survival rates exceeding national benchmarks. We deliver state-of-the-art life-saving care to insulin-dependent individuals with advanced type 1 or type 2 diabetes, kidney failure and other complications. Since performing one of the world’s first pancreas transplants more than 50 years ago with the longest survival recorded at the time, we remain at the forefront of clinical care and research for pancreas transplantation and methods to prevent or treat organ rejection.
Our elite multidisciplinary team of world-renowned specialists has extensive experience in simultaneous pancreas-kidney transplants, pancreas after kidney transplants and pancreas transplants alone. Our transplant experts utilize the most advanced surgical approaches available today, including minimally invasive and robotically-assisted surgery for faster recovery as well as bloodless kidney transplant for those with religious or medical restrictions. Through transplantation, you are able to become insulin-independent and normoglycemic, free from dialysis, and halt or reverse diabetic complications, improving your quality of life.
Our team of transplant experts includes a dedicated transplant coordinator, transplant surgeons, diabetologists, endocrinologists, nephrologists, urologists, immunologists, critical care specialists, psychiatrists, nutritionists, and physical and occupational therapists, who collaborate together to address your unique needs throughout the transplantation process.
Among the Best Pancreas Transplant Survival Rates in the Nation
Our pancreas transplant outcomes are among the best in the nation with 100% three-year survival of pancreas after kidney transplant recipients.
Cómo minimizamos los tiempos de espera
We are able to transplant patients who normally would be ineligible elsewhere by using sophisticated donor pool expansion techniques for those who require simultaneous pancreas and kidney transplantation. These include transplantation of kidneys with acute kidney injury, viral hepatitis and HIV, living donor paired kidney exchange, and innovative desensitization programs for patients with high antibody levels and incompatible blood types.
State-of-the-Art Diagnostics & Surgical Techniques
Our world-renowned specialists use advanced diagnostic imaging technology for evaluation of donor pancreases and recipients, including ultrasonography, computerized tomography (CT), CT angiography, magnetic resonance imaging (MRI), and digital subtraction angiography, for preoperative and postoperative evaluation.
We are among the few hospitals in the United States to have an Organ Procurement & Transplantation Network (OPTN) member transplant histocompatibility laboratory. Our in-house American Society for Histocompatibility and Immunogenetics (ASHI) accredited immunology lab provides state-of-the-art histocompatibility, immunology and immunogenetics testing including HLA typing, antibody, and crossmatch testing. For patients needing dialysis access surgery, we provide in-house vascular access services, including venous catheters, arteriovenous (AV) fistulas, and AV grafts.
Nuestros expertos en trasplantes utilizan los enfoques quirúrgicos más avanzados disponibles en la actualidad, incluyendo cirugía mínimamente invasiva y robótica para una recuperación más rápida, así como trasplantes sin transfusión sanguínea para quienes tienen restricciones religiosas o médicas. Según el grado de enfermedad renal asociada y las complicaciones diabéticas secundarias, ofrecemos trasplante simultáneo de riñón y páncreas, trasplante de páncreas después de un trasplante de riñón y trasplante de páncreas aislado. Para pacientes con diabetes insulinodependiente avanzada e insuficiencia renal que requieren un trasplante simultáneo de riñón y páncreas o un trasplante de páncreas después de un trasplante de riñón, ofrecemos trasplantes de riñón de donante fallecido o vivo y trasplantes de páncreas de donante fallecido. Nuestro trabajo continuo en el desarrollo de técnicas y tecnologías emergentes nos permite brindar las técnicas quirúrgicas más avanzadas.
Para garantizar el éxito del trasplante, optimizamos la supervivencia del injerto mediante terapias inmunosupresoras avanzadas y nuevos protocolos de tolerancia inmunológica. Además, utilizamos técnicas de monitorización especializadas para evaluar el rechazo del trasplante y otras complicaciones. Estas técnicas incluyen biopsia tisular, biopsia líquida no invasiva y mínimamente invasiva, y pruebas inmunológicas para optimizar la terapia inmunosupresora.
At the Forefront of Living Organ Donation
When pancreas transplant is to be performed after a kidney transplant, we often recommend a living donor kidney to help overcome the limited supply of organs. Our robust living donor program offers a way for individuals to get a lifesaving transplant sooner. Family, friends and anonymous living donors participate in the program, reducing the wait time for transplantation in matched recipients. Live donor transplant success rates have been shown to be equivalent to deceased donor transplant success rates. At Montefiore Einstein, we are among the best in the nation with three-year liver transplant survival rates of 100% for both pediatric and adult recipients of live donor liver transplants.
Para nuestros pacientes que necesitan un trasplante de riñón o hígado, creamos la revolucionaria herramienta digital «Quiero Vivir», pionera en su tipo, que utiliza inteligencia artificial (IA) y video para contar su historia y explicar por qué desean vivir. Esta herramienta exclusiva ofrece un enfoque totalmente novedoso y único para ayudar a quienes necesitan un trasplante a superar la dificultad de pedir ayuda y contactar con posibles donantes.
Cómo afrontar el proceso de trasplante
El Centro de Trasplantes Montefiore Einstein ofrece una serie de recursos para ayudarle, informarle y apoyarle a usted y a su familia durante todo el proceso de trasplante, incluyendo un coordinador de trasplantes especializado que le ayudará a afrontar cada paso de su proceso antes, durante y después de la cirugía.
Nuestro programa Helping Hands, una red de recursos compuesta por médicos, enfermeras, nutricionistas, trabajadores sociales y administradores, ayuda a las personas a comprender y gestionar mejor su salud y sus vidas durante el proceso de trasplante, y complementa la medicina de vanguardia con enfoques holísticos para mejorar la calidad de vida de los pacientes, sus familias y sus cuidadores.
Investigación y ensayos clínicos
Your Pancreas Transplant Team
Maria Ajaimy, MD
Our elite multidisciplinary team of globally recognized experts specialize in pancreatic and kidney transplantation, and together deliver world-class care addressing end-stage kidney, pancreas disease and advanced diabetes as well as the unique needs of each individual to help improve survival and quality of life.
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Have a general question or concern? We’re available to help you by phone or by email. 1-877-CURE-KDNY (1-877-287-3536) trasplante@montefiore.org