Nursing Assistance During Whole-Process Ultrasound-Guided Percutaneous Portal Vein Puncture for Islet Transplantation

Objective This study aims to develop nursing guidelines for diabetic patients undergoing ultrasound-guided islet transplantation via percutaneous portal vein puncture and catheterization, providing valuable insights for perioperative care. Methods From December 2017 to September 2023, 27 patients underwent 44 ultrasound-guided islet transplantations at our hospital. Comprehensive nursing support was provided preoperatively, intraoperatively, and postoperatively. Results All 44 procedures were successful. Intraoperative complications included upper abdominal pain/nausea/vomiting in 3 cases (6.8%), transient portal vein pressure increase in 8 cases (18.2%), and active bleeding post-catheter removal in 6 cases (13.6%). No delayed portal vein bleeding or thrombosis occurred. Conclusions Nursing interventions are critical for the success of ultrasound-guided islet transplantation. Key measures include preoperative assessment and patient education, intraoperative monitoring of vital signs and portal vein pressure, and postoperative prevention of bleeding complications.