Kidney autotransplantation: long-term outcomes and complications. Experience in a tertiary hospital and literature review

Hernández, Mercedes Ruíz; Hevia, Vital; Fabuel, Jose-Javier; Fernández, Ana; Gómez, Victoria; Burgos, F.J.

doi:10.1007/s11255-017-1680-1

Cited by 29 publications

(28 citation statements)

References 30 publications

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“…In another multicenter study of 51 patients-5 of whom had undergone autotransplantation of a solitary kidney-the reported complication rates were on par or better than complication rates associated with other major urological operations [8]. The most common complications associated with KAT were urinary tract infection and hemorrhage [2,3]. Higher grade complications that were associated with KAT included septic shock and venous thrombosis [8].…”

Section: Discussionmentioning

confidence: 99%

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Kidney Autotransplantation for Treatment of Ureteric Obstruction: A Case Report and Brief Review of the Literature

Joshi

Lin

Sura

et al. 2021

Case Reports in Surgery

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Autologous kidney transplantation is a relatively rare procedure that has been used as an alternative treatment for a variety of complex genitourinary problems, in particular for the treatment of complex proximal ureteral strictures. In this case report, a 47-year-old male, who had undergone a living donor nephrectomy 14 years earlier, presented with episodes of acute kidney injury on chronic kidney disease. He was found to have a complex proximal ureter stricture of his solitary right kidney. He underwent nephrectomy with subsequent autotransplantation of the kidney into the right iliac fossa. His renal function improved significantly after surgery. Renal autotransplantation may be considered for the management of proximal ureteral obstruction when alternative options are contraindicated.

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Section: Discussionmentioning

confidence: 99%

“…Since that time, it has been used as an alternate treatment for a variety of complex renal issues. The most common indication for KAT has been for the treatment of complex and proximal ureteral strictures [3,4]. KAT itself is a relatively rare procedure.…”

Section: Introductionmentioning

confidence: 99%

Kidney Autotransplantation for Treatment of Ureteric Obstruction: A Case Report and Brief Review of the Literature

Joshi

Lin

Sura

et al. 2021

Case Reports in Surgery

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“…In one study, the mean age was 41 years (range, 34 to 59 years), and none of the patients had any major or intermediate preoperative cardiac risk factors. 19 The literature indicates a propensity of LPHS to affect females more commonly than males. 8 In our study, the median age was 40.1 years, and 64% of patients were female, results that corroborate the literature.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic Management and 30-Day Outcomes After Renal Autotransplantation

Babazade

Devarajan

Bonavia³

et al. 2020

TOJ

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Background: Renal autotransplantation is a complex procedure performed for various indications such as treatment of renal vascular and urologic lesions and loin pain hematuria syndrome (LPHS). Because of the rarity of the procedure, few reports have been published, and little is known about anesthetic management and postoperative outcomes of patients with LPHS. The goal of this study was to review and describe all cases of renal autotransplantation performed at Cleveland Clinic during a specified period, focusing on anesthetic management and postoperative 30-day outcomes. Methods: We performed a retrospective review of the records of all patients who underwent renal autotransplantation from 2005 to 2014 at the Cleveland Clinic and collected demographic, anesthetic, surgical, and postoperative data. Results: A total of 64 patients underwent renal autotransplantation from 2005 to 2014. The most frequent indications were nephrolithiasis and LPHS. General endotracheal anesthesia with epidural for pain control was used in 47% of cases. Median duration of anesthesia was 528 minutes. Most patients were sent to a regular nursing floor postoperatively, but 28% of patients required intensive care unit admission. Two patients developed graft ischemia, and 1 patient developed graft failure requiring nephrectomy. No anesthetic-related complications and no mortality were associated with this procedure during the study. Conclusion: Renal autotransplantation is a safe option for patients with LPHS. Additional studies are needed to assess the effect of intraoperative anesthetic management on outcomes in this patient population.

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“…To maintain the patient's bilateral kidney function, renal auto transplantation was taken into consideration. In fact, there are several indications for renal auto transplantation described in the current literature, including ureteral strictures and complex vascular abnormalities affecting renal arteries [25]. e procedure had been first described by James Hardy in 1963, who treated complex ureteral injuries during aortic surgery.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention

Rhee

Busch²,

Sansone³

et al. 2019

Case Reports in Vascular Medicine

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Purpose. To report the effectiveness of left renal artery (LRA) occlusion using Amplatzer Vascular Plug (AVP) II as treatment for a high-flow renal arteriovenous fistula (RAVF) with multiple renal vein aneurysms (RVA) to prevent aneurysm rupture and cardiac decompensation. Case Report. A 59-year-old female suffering from a post-traumatic RAVF presented with tachycardia and increased cardiac output (CO). Doppler ultrasonography and computed tomography (CT) scan revealed a high-flow RAVF with multiple RVAs and unilateral critically reduced kidney function. Appreciating recent interventional therapeutic advances, the patient was treated with endovascular placement of AVP II into the left renal artery (LRA) resulting in complete occlusion of the RAVF to effectively reduce the risk of RVA rupture and cardiac decompensation. No anti-platelet medication was administrated after the occlusion of the LRA. The patient’s physical capacity improved since right heart volume strain was normalized, and CO was reduced. Conclusion. Transbrachial AVP II occlusion of the LRA is effective to occlude high-flow RAVFs to prevent risk of life-threatening RVA rupture. Additional follow-up is warranted to verify long-term effectiveness of this approach.

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Kidney autotransplantation: long-term outcomes and complications. Experience in a tertiary hospital and literature review

Cited by 29 publications

References 30 publications

Kidney Autotransplantation for Treatment of Ureteric Obstruction: A Case Report and Brief Review of the Literature

Kidney Autotransplantation for Treatment of Ureteric Obstruction: A Case Report and Brief Review of the Literature

Anesthetic Management and 30-Day Outcomes After Renal Autotransplantation

Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention

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