Fate of renal allografts connected to vascular prostheses
| Autor: | J A, van der Vliet, D B, Naafs, J H, van Bockel, G, Kootstra, A P, Boll, W B, Barendregt, F G, Buskens |
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| Rok vydání: | 1996 |
| Předmět: |
Adult
Male Anastomosis Surgical Graft Survival Aortic Diseases Arterial Occlusive Diseases Thrombosis Middle Aged Postoperative Hemorrhage Aneurysm Kidney Transplantation Renal Veins Aortic Aneurysm Blood Vessel Prosthesis Femoral Artery Survival Rate Treatment Outcome Cadaver Humans Transplantation Homologous Female Aorta Aged Netherlands Retrospective Studies |
| Zdroj: | Clinical transplantation. 10(2) |
| ISSN: | 0902-0063 |
| Popis: | The outcome of renal transplantation with an arterial anastomosis to a vascular prosthesis in the aortofemoral tract is evaluated.All 7 Dutch transplant centers were invited to review their experience. Among a total of 5791 cadaveric renal transplantations performed between 1978 and 1994, 13 cases (0.2%) in 3 different centres were identified. In 6 cases the vascular reconstruction and transplant operation were performed simultaneously, and in 7 cases separately, with a mean interval of 3.5 yr. The indications for vascular reconstruction were aneurysmal disease in 4 and obstructive disease in 9 cases.The early vascular complications of these procedures were hemorrhage in 4 and renal vein thrombosis in 1 and led to graft loss in 3 cases. The perioperative mortality was 2/13 (15%). The graft and patient survival were 68 and 83% respectively after 1 yr and 17 and 37% after 5 yr. Late mortality was mainly due to cardiovascular disease.Renal transplantation with an arterial anastomosis to a vascular prosthesis in the aortofemoral tract is a hazardous procedure with relatively poor short- and long-term results. These observations should be considered in the choice of renal replacement therapy in this special patient population. |
| Databáze: | OpenAIRE |
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