Utilization of vascular conduits to facilitate renal transplantation in patients with significant aortoiliac calcification
| Autor: | Hannah Kerr, Sarah Coleman, David A. Goldfarb, Venkatesh Krishnamurthi, John Rabets |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Urology medicine.medical_treatment Aortic Diseases Iliac Artery Severity of Illness Index Tongue Severity of illness medicine Humans In patient Saphenous Vein Vein Vascular Calcification Aged Retrospective Studies business.industry Mitral valve replacement Retrospective cohort study Middle Aged medicine.disease Kidney Transplantation Surgery Transplantation medicine.anatomical_structure Female Vascular Grafting business Calcification |
| Zdroj: | Urology. 84(4) |
| ISSN: | 1527-9995 |
| Popis: | Objective To describe the use of vascular conduits (donor iliac artery or saphenous vein) in renal transplantation recipients with extensive aortoiliac calcification. Materials and Methods Vascular conduits were used in 10 renal transplants with severe vascular calcification at Cleveland Clinic from 2009 to 2013. Both iliac artery (N = 8) and saphenous vein (N = 2) grafts were used. Surgical technique is reviewed in detail. Surgical complications, patency on renal transplant ultrasonography, and serum creatinine level at multiple time points were reviewed. Results Mean follow-up time was 26 months (7-44 months). Mean serum creatinine level was 1.42 mg/dL (1.04-1.74 mg/dL) at 6 months, 1.35 mg/dL (0.83-1.86 mg/dL) at 12 months, and 1.43 mg/dL (0.79-1.81 mg/dL) at last follow-up. All patients were demonstrated postoperatively to have patent vasculature on renal ultrasonography. No patients experienced lower extremity vascular complications. Death-censored graft survival was 100%. One patient died from complications after mitral valve replacement, and one patient died from metastatic squamous cell carcinoma of the tongue. Both patients had functioning grafts at the time of death. Conclusion Vascular conduits can be used to facilitate renal transplantation in the setting of severe recipient aortoiliac calcification, thus allowing for successful transplantation of these complex recipients. |
| Databáze: | OpenAIRE |
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