Dacron vascular grafts in renal transplant patients

Sterioff, Sylvester; Zachary, Jimmy B.; Williams, G. M.

doi:10.1016/0002-9610(74)90310-9

Cited by 40 publications

(10 citation statements)

References 2 publications

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“…Also in renal transplant recipients with hypertension due to stenosis of the graft artery, the results of reconstructive vascular surgery are encouraging, a cure rate or improvement of more than 50% being reported (Lee, Linehan, Pierce & Hume, 1972;Nerstram et al, 1972;Sterioff, Zachary &Williams, 1974;Lacombe, 1975;Henriksson et al, 1976;Osborn, 1976). In our material the vascular reconstruction was successful after 2 of the 3 operations (Cases 4 and 44).…”

Section: Discussionsupporting

confidence: 52%

Renovascular Hypertension After Kidney Transplantation

Klarskov

Brendstrup

Krarup

et al. 1979

Scandinavian Journal of Urology and Nephrology

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The development of hypertension after kidney transplantation was examined in a consecutive series of 83 transplantations (79 patients) with a graft survival of more than 30 days. After transplantation, 50% of the normotensive recipients developed mild or severe hypertension, while 74% of the hypertensive recipients remained hypertensive. Stenosis of the graft artery with a narrowing of the diameter of more than 50% was found in 13 patients and in 3 patients a minor or peripheral stenosis was found. Significantly more stenoses were seen in the presence of two donor arteries, whereas no other etiological factors could be shown. In arterial stenosis, severe hypertension was established within a few months after transplantation, but in spite of satisfactory controlled blood pressure and good graft function, hypertensive crises could arise. It is therefore concluded that arteriography and renin analysis should be considered in all cases of severe hypertension, and surgical correction should be considered when arterial stenosis is present.

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Section: Discussionsupporting

confidence: 52%

Renovascular Hypertension After Kidney Transplantation

Klarskov

Brendstrup

Krarup

et al. 1979

Scandinavian Journal of Urology and Nephrology

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“…In the majority of the instances in which sever aortoiliac disease is diagnosed intra-operatively during renal transplantation, anastomosis of renal artery to a vascular prosthetic graft posses a highly technical and unique challenge [2] [5]. Renal arterial anastomosis to a vascular prosthetic graft, was initially described by Sterioff et al in 1974 and later by Ahlmen et al Typically the case is not technically difficult except unless the iliac vein is scarred or fibrotic, in which case the renal vein can be anastomosed to inferior vena cava [1] [14] [15]. Coosemans et al reported on 16 renal transplant recipients in whom renal artery anastomosis was performed directly to a vascular prosthesis either simultaneously or after vascular surgery procedure for aortoiliac disease.…”

Section: Discussionmentioning

confidence: 99%

Renal Transplantation in Patients with Aortoiliac Prosthetic Grafts: A Case Report and Pertinent Review of Literature

Patil¹,

Sun²,

Geffner³

et al. 2015

OJOTS

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Renal transplantation in a patient with aortoiliac prosthetic graft is a unique challenge. It requires that the renal artery is anastomosed directly to the vascular prosthetic graft. Nearly 0.2% -1.7% of the patients with aortoiliac prosthesis require renal transplantation in their life time. Outcomes following such procedure are controversial and anecdotal. In this report we present a unique case in which the renal artery was anastomosed to vascular prosthetic graft with a pertinent review of the literature.

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“…Sterioff et al [12] showed already in 1974 that kidney transplantation was possible in patients with arterial prosthetic grafts. In 1979, Ahlmen et al [13] reported the case of a 62-year-old man who benefited from a renal transplantation 12 years after an aorto-bi-iliac graft for aortic aneurysm.…”

Section: Discussionmentioning

confidence: 99%

Results of Renal Transplantation on Alloplastic Arterial Grafts

Sagban¹,

Regus²,

Heller

et al. 2016

Urol Int

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Background: The aim of this retrospective study was to report results of a consecutive series of kidney transplant patients in whom the renal artery was implanted on a prosthetic vascular graft (PVG). Methods: Between January 2011 and December 2014, 208 deceased donor renal transplantations (68 female, 140 male, mean age 52, SD 16 years) were performed. Medical charts and outpatient clinical records of patients who had undergone renal artery implantation on a PVG were reviewed. Extensive literature research added to our 4 patients further 170 published cases during 1989 and 2015 and was compared with regular transplanted patients. Data on patient characteristics, prior vascular procedures, postoperative and long-term outcome were collected. Results: Patients with transplant renal artery anastomosis on a PVG were 4 years older than the control group. Function of the graft was similar in these patients compared to regular renal transplant patients. Resistance indices assessed in our clinic over the entire follow-up period showed also no significant difference between the 2 groups. Thirty-day mortality was 6% (none in our group), which occurred mostly in combination when renal transplantation and PVG replacement was performed simultaneously. Conclusion: Grafting of the renal artery to a PVG is feasible and yields good results, despite the technical difficulties involved.

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Dacron vascular grafts in renal transplant patients

Cited by 40 publications

References 2 publications

Renovascular Hypertension After Kidney Transplantation

Renovascular Hypertension After Kidney Transplantation

Renal Transplantation in Patients with Aortoiliac Prosthetic Grafts: A Case Report and Pertinent Review of Literature

Results of Renal Transplantation on Alloplastic Arterial Grafts

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