Transplantation of a horseshoe kidney from a living donor: Case report, long term outcome and donor safety

Justo-Janeiro, Jaime M; Orozco, Eduardo Prado; Reyes, Francisco J.Roberto Enríquez; Paredes, René de la Rosa; Cisneros, Luis G.Vázquez de Lara; Espinosa, Alfonso; Naylor, Jesús Mier

doi:10.1016/j.ijscr.2015.08.008

Cited by 13 publications

(12 citation statements)

References 15 publications

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“…Despite some attempts in this matter, vascular network of horseshoe kidney has still not been fully described, primarily due to its considerable variability [ 7 ]. A systematic analysis of horseshoe kidney vasculature would with no doubt facilitate many abdominal and pelvic surgeries, in particular abdominal aortic aneurysm treatment [ 15 ], iliac artery angioplasty or bypass surgery [ 12 , 14 ], renal artery angioplasty and kidney transplantation [ 5 , 24 ]. A key morphological feature which with no doubt needs to be considered during such analysis is the level at which renal arteries branch off their parental vessels.…”

Section: Introductionmentioning

confidence: 99%

The level of origin of renal arteries in horseshoe kidney vs. in separated kidneys: CT-based study

et al. 2018

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PurposeHorseshoe kidney is a rare congenital anomaly with potential clinical implications. The aim of this study was to determine the number of renal arteries and veins and the level at which the arteries branched off their parental vessels in individuals with horseshoe kidney (HSK) and in persons with separated kidneys (SK).Materials and methodsThe analysis included computed tomography angiography studies of 331 patients (83 HSK and 248 SK). The number of renal vessels and diameters of renal arteries were determined, along with the level at which they branched in relation to other ramifications (four groups of origin were proposed) and their entrance of the vessels to the kidney.ResultsNumber of renal arteries in HSK group was 4.57 ± 1.39 per patient and 2.4 ± 0.43 in SK group (p < 0.0001). The distribution of branching level of renal arteries in HSK group was: I group ~ 57%, II group ~ 27%, III group ~ 15% and IV group < 1%, whereas in SK group the distribution was respectively: I group ~ 99%, II group < 1%, III and IV group − 0% (p = 0.0001). In HSK group, diameter of renal arteries branching above the IMA was 4.61 ± 1.58 mm, as compared with 3.96 ± 1.34 mm for the arteries branching below (p = 0.0004). Number of veins was 566 in SK group (87.70% of kidneys were supplied by single vein) and 323 in HSK group (9.64% kidneys were supplied by two veins) (p < 0.0001).ConclusionIn HSK group, renal arteries significantly more often branch off their parental vessels below the origin of IMA and such vessels are usually smaller.

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Section: Introductionmentioning

confidence: 99%

The level of origin of renal arteries in horseshoe kidney vs. in separated kidneys: CT-based study

et al. 2018

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“…Running sutures in one or more layers is the most common technique proposed in the literature 2 ; however, excessive tightening could tear the renal parenchyma apart. Other devices, such as a stapler 3 or a harmonic scalpel, 4 have also been used for this purpose.…”

Section: Discussionmentioning

confidence: 99%

Horseshoe kidney splitting technique for transplantation

Pablos-Rodríguez

Suárez

Canals

et al. 2021

Urology Case Reports

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Shortage of donors has led to an expansion of the criteria for acceptability of deceased-donor organs including the use of kidneys with anatomical variations such us horseshoe kidneys (HSKs). Transplantation can be accomplished either en bloc or after division of the HSK. Little is known about the most appropriate technique to split the kidney and minimize risk of bleeding or urinary fistula. In this report we present two renal transplants after division of a HSK with a different splitting technique.

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“…Since 1998, there have been 9 cases of horseshoe kidney transplantation from live donors published 6 with maximal follow-up of 54 months. Regardless of the absence of donor morbidity and acceptable recipient outcomes, transplant centers in the developed world still would decline live donors with horseshoe kidney.…”

Section: Discussionmentioning

confidence: 99%