Publications by authors named "A Baranski"

In this study, 10 years of procurement quality monitoring data were analyzed to identify potential risk factors associated with procurement-related injury and their association with long-term graft survival. All deceased kidney, liver, and pancreas donors from 2012 to 2022 and their corresponding recipients in the Netherlands were retrospectively included. The incidence of procurement-related injuries and potential risk factors were analyzed.

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Background: In June 2021, the first robot-assisted donor nephrectomy (RADN) was performed at the Leiden University Medical Center (LUMC), the Netherlands. The goal of this study was to investigate whether this procedure has been implemented safely and efficiently.

Methods: RADN was retrospectively compared to laparoscopic donor nephrectomy (LDN) performed during the same time period (June 2021 until November 2022).

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  • This study examines how the training level and experience of surgeons affect outcomes in liver procurement from deceased donors in the Netherlands.
  • The analysis focused on three groups (trainee, certified, master) and looked at surgical graft injuries, rates of discarded livers, and the time taken for hepatectomy.
  • Results showed that while surgical injury rates were similar across groups, the master group had a higher liver discard rate after injury, and those with training showed improved efficiency with shorter hepatectomy durations.
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  • Extravillous trophoblasts (EVTs) invade the uterus early in pregnancy, remodeling spiral arteries into larger blood vessels, with ongoing debate about the role of immune and stromal cells in this process as pregnancy progresses.
  • A multiomics study was conducted to analyze around 500,000 cells and numerous arteries from pregnant individuals, revealing significant changes in maternal immune cell populations as gestational age increases.
  • The study developed a model of spiral artery remodeling (SAR) that details how EVT invasion is linked to the regulation of blood vessel growth and immune cell interaction, promoting a safe maternal-fetal environment.
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Background: The aim of this study was to analyze the value of the unadjusted CUSUM graph of liver surgical injury and discard rates in organ procurement in the Netherlands.

Methods: Unadjusted CUSUM graphs were plotted for surgical injury (C event) and discard rate (C2 event) from procured livers accepted for transplantation for each local procurement team compared with the total national cohort. The average incidence for each outcome was used as benchmark based on procurement quality forms (Sep 2010-Oct 2018).

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