Results of Kidney Transplantation With Simultaneous Implantation of Vascular Graft

Özcelik, Arzu; Treckmann, Juergen; Paul, Andreas; Witzke, Oliver; Sotiropoulos, Georgios C.; Nadalin, Silvio; Malagó, M; Broelsch, C. E.

doi:10.1016/j.transproceed.2006.12.017

Cited by 32 publications

(25 citation statements)

References 2 publications

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“…In a multicenter Dutch study, discouraging outcomes were reported, with 23% graft loss and 15% perioperative mortality rates [10]. In a more recent study reporting a series of 11 patients in whom the 2 procedures were performed simultaneously, 2 grafts were lost because of bleeding from the anastomotic site and primary non-function resulting from prolonged warm ischemia [14]. Poor results were also observed in another study with 10% perioperative mortality due to myocardial infarction and loss of up to 23% of allografts implanted on a vascular prosthesis [7].…”

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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Section: Discussionmentioning

confidence: 99%

Results of Renal Transplantation on Alloplastic Arterial Grafts

Sagban¹,

Regus²,

Heller

et al. 2016

Urol Int

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“…Traditionally, severe arteriosclerosis has been considered as relative contraindication for kidney transplantation [6]. Several recently published data reported combined kidney transplantation and vascular reconstruction in patients with arteriosclerosis resulting in promising outcome [7,8]. However, in some cases it is more beneficial to stop the kidney transplantations due to high risk for patient and graft.…”

Section: Discussionmentioning

confidence: 99%

Long Term Success of Kidney Transplantation after Triple Cold and Triple Warm Ischemic Time

Oezcelik¹,

Kaiser²,

Becker³

et al. 2016

J Kidney

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The number of elderly and multi-morbid patients on the list for kidney transplantation has increased rapidly over the past decade. The presented case is about a 64-year old patient, suffering from chronic kidney disease due to benign nephrosclerosis. After eight years on list for kidney transplantation, a 43-year old deceased donor was accepted and the patient was assigned for kidney transplantation. Intraoperatively the kidney transplantation turned out to be unexpectedly challenging due to severe arteriosclerosis of the recipient iliac vessels while the donor graft quality was excellent. The kidney transplantation was stopped after the second attempt due to repeated intima dissection of the iliac artery. The kidney graft was reperfused with UW-solution after each attempt. After the second attempt the flow of the iliac vessels was compromised. In order to maintain the arterial flow of the iliac vessels, a crossover bypass was required, which was performed without any impairment of the lower extremities' blood perfusion. The patient could be discharged 12 days after the surgery. The remaining kidney-graft, with total cold ischemic time of 25 hours and total warm ischemic time of 85 (25+35+25) minutes, was transplanted to a 61-years old female patient. The primary graft function was excellent with decreasing serum creatinine level and sufficient diuresis. The doppler-duplex scanning showed good perfusion of the graft. The patient was discharged eight days after transplantation. On the 10-years follow-up, the patients had still an excellent graft function with creatinine value of 1.5 mg/dl. Although one case is not enough to make conclusions, it shows that the transplantation of such kidneygrafts with multiple cold and warm ischemic times to another patient should be considered as an option in these situations.

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“…14 Arterial allografts have been successfully used in the treatment for mycotic aneurysms and infected vascular prostheses for last 30 years. 15,16 Their good resistance to infection was documented even in one of our patients after simultaneous AAA repair and renal transplantation in whom an ischemic colitis with colon perforation developed during early postoperative period.…”

Section: Discussionmentioning

confidence: 99%

Successful surgical treatment of multilevel aortic aneurysms combined with renal transplantation

Matia

Pirk

Lipar

et al. 2009

Journal of Vascular Surgery

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The concomitant presence of a thoracic aortic aneurysm and an abdominal aortic aneurysm in patients considered for renal transplantation is extremely rare. To our knowledge, this is the first case report of the successful treatment of multilevel aortic aneurysms together with renal transplantation. The treatment modalities in renal transplant patients with concomitant aortic aneurysms are discussed.

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Results of Kidney Transplantation With Simultaneous Implantation of Vascular Graft

Cited by 32 publications

References 2 publications

Results of Renal Transplantation on Alloplastic Arterial Grafts

Results of Renal Transplantation on Alloplastic Arterial Grafts

Long Term Success of Kidney Transplantation after Triple Cold and Triple Warm Ischemic Time

Successful surgical treatment of multilevel aortic aneurysms combined with renal transplantation

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