Safety of simultaneous aortic reconstruction and renal transplantation

Wright, Jonathan; Tesi, Raymond J.; Massop, Douglas W.; Henry, Mitchell L.; Durham, Joseph R.; Ferguson, Ronald M.; Smead, William L.

doi:10.1016/0002-9610(91)90173-b

Cited by 35 publications

(19 citation statements)

References 13 publications

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“…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]. Other studies showed good results of kidney transplantation in association with alloplastic prosthesis replacement procedures [5,6,11,15,16,17,18,19,20,21,22]. Our own experience in 4 cases is in line with these findings.…”

Section: Discussionsupporting

confidence: 79%

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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: Discussionsupporting

confidence: 79%

“…Five-year graft survival rate was reported in 12 studies and ranged from 17% [10] to 100% [11]. In our cases, graft survival was 100% during a mean follow-up of 23 ± 14.1 months.…”

Section: Resultsmentioning

confidence: 51%

Results of Renal Transplantation on Alloplastic Arterial Grafts

Sagban¹,

Regus²,

Heller

et al. 2016

Urol Int

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“…Conventional or magnetic resonance angiography is undertaken if there remains any uncertainty that the vascular status is sufficient to allow SPK transplantation. In some instances, vascular reconstruction prior to transplantation may be considered, as has been described previously (17,18).…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Pancreas-Kidney Transplantation Utilizing a Common Arterial Conduit: Early Experience and Potential Applications

Tso¹,

Cash

Pearson

et al. 2003

American Journal of Transplantation

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Simultaneous pancreas-kidney transplantation has gained acceptance as a therapeutic modality for patients with end-stage renal disease secondary to diabetes mellitus. In some instances, performing the procedure as conventionally described with renal revascularization from the left iliac vessels and pancreatic arterial inflow from the right iliac vessels may be difficult or undesirable. We describe our experience with an alternate operative technique utilizing a single arterial conduit to vascularize both organs. We believe that this technique may be of use in certain patients undergoing simultaneous pancreas-kidney transplantation.

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“…In patients with signs or symptoms of aortoiliac disease, pretransplant angiography can be useful. Surgical reconstruction can be successfully carried out either before or at the time of renal transplantation (813)(814)(815)(816)(817)(818)(819)(820)(821).…”

Section: Recommendationsmentioning

confidence: 99%

The Evaluation of the Renal Transplant Candidates: Clinical Practice Guidelines

2001

American Journal of Transplantation

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Safety of simultaneous aortic reconstruction and renal transplantation

Cited by 35 publications

References 13 publications

Results of Renal Transplantation on Alloplastic Arterial Grafts

Results of Renal Transplantation on Alloplastic Arterial Grafts

Simultaneous Pancreas-Kidney Transplantation Utilizing a Common Arterial Conduit: Early Experience and Potential Applications

The Evaluation of the Renal Transplant Candidates: Clinical Practice Guidelines

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