A successful case of salvage kidney transplantation using the recipient gonadal vein to bypass a major outflow obstruction

Alameddine, Mahmoud; Zheng, Ian; Jue, Joshua S.; Yusufali, Ali; Moghadamyeghaneh, Zhobin; González, Javier; Morsi, Mahmoud; Guerra, Giselle; Vianna, Rodrigo; Ciancio, Gaetano

doi:10.1016/j.eucr.2017.10.005

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…47 When venous outflow volume exceeds the drainage capacity, the allograft will become congested; Alameddine et al anastomosed the enlarged gonadal vein and the renal vein to decongest the kidney graft. 48 Other authors have shown the gonadal vein is useful as the primary drainage vein as well. 47,[49][50][51] One should also consider such atypical vascular anastomoses in KTs in children with congenital or acquired major vascular anomalies.…”

Section: Subsequent Optionsmentioning

confidence: 99%

How to Deal With Kidney Retransplantation—Second, Third, Fourth, and Beyond

Sageshima¹,

Chandar²,

Chen

et al. 2021

Transplantation

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Kidney transplantation is the best health option for patients with end-stage kidney disease. Ideally, a kidney transplant would last for the lifetime of each recipient. However, depending on the age of the recipient and details of the kidney transplant, there may be a need for a second, third, fourth, or even more kidney transplants. In this overview, the outcome of multiple kidney transplants for an individual is presented. Key issues include surgical approach and immunologic concerns. Included in the surgical approach is an analysis of transplant nephrectomy, with indications, timing, and immunologic impact. Allograft thrombosis, whether related to donor or recipient factors merits investigation to prevent it from happening again. Other posttransplant events such as rejection, viral illness (polyomavirus hominis type I), recurrent disease (focal segmental glomerulosclerosis), and posttransplant lymphoproliferative disease may lead to the need for retransplantation. The pediatric recipient is especially likely to need a subsequent kidney transplant. Finally, noncompliance/nonadherence can affect both adults and children. Innovative approaches may reduce the need for retransplantation in the future.

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