Logo Annals of Transplantation Logo Annals of Transplantation Logo Annals of Transplantation

21 May 2009

Kidney transplantation in patients with severe atherosclerosis of aorta and iliac arteries

Z Gałązka, K Madej, T Grochowiecki, T Jakimowicz, P Świercz, J Szmidt

Ann Transplant 2009; 14(1): 47-47 :: ID: 880370


Background: Atherosclerosis is common in end stage renal failure patients
on dialysis. On the other hand it was considered a contraindication for kidney transplantation. Nowadays, extended indications are accepted on the waiting list including patients with severe atherosclerosis. This requires vascular procedure prior or during kidney transplantation. The aim of the study was to present our experience with vascular reconstruction prior to kidney transplantation.
Material/Methods: There were ten atherosclerotic, uremic patients referred to our Department as candidates for kidney transplantation. All were refused waiting list inclusion due to occlusive lesions of iliac arteries or distal part of the aorta. There were 9 male and 1 female, age 45-68 years. Preoperative assessment consisted of Doppler ultrasound and angio-CT scan. Reconstruction was performed with aorto-bi-iliac in 6, aorto-bi-femoral in 3 and ilio-femoral Dacron graft in 1 patient under general anaesthesia.
Results: There were no major postoperative complications. Patients were discharged and placed on a special waiting list. Six of them received kidney allograft including one living-related transplantation. All procedures were made with transplanted kidney artery anastomosis to the side of the prosthesis. No patient developed signs of arterial graft infection. In postoperative period there was no arterial or transplanted kidney related complications, except delayed graft function in 2 cases. Remaining four patients are still on the waiting list.
Conclusions: Vascular reconstruction in end-stage renal failure patients with
severe atherosclerosis of aorto-iliac vessels allows kidney transplantation.

Keywords: Kidney Transplantation

Add Comment 0 Comments

In Press

Original article  

Post-Donation Regret and Anxiety Among Family Living Liver Donors: The Mediating Roles of Family Relationsh...

Ann Transplant In Press; DOI: 10.12659/AOT.944176  

Original article  

Effect of the Organ Donation Quality System on Donation Activity of Warsaw Hospitals

Ann Transplant In Press; DOI: 10.12659/AOT.943520  

Original article  

Clonal Hematopoiesis-Associated Gene Mutations Affect Acute Graft-Versus-Host Disease After Hematopoietic S...

Ann Transplant In Press; DOI: 10.12659/AOT.943688  

Original article  

Impact of Recipient and Donor Body Mass Index on Survival Outcomes After Intestinal Transplantation: A Unit...

Ann Transplant In Press; DOI: 10.12659/AOT.943994  

Most Viewed Current Articles

05 Apr 2022 : Original article   12,201

Impact of Statins on Hepatocellular Carcinoma Recurrence After Living-Donor Liver Transplantation

DOI :10.12659/AOT.935604

Ann Transplant 2022; 27:e935604

22 Nov 2022 : Original article   8,720

Long-Term Effects of Everolimus-Facilitated Tacrolimus Reduction in Living-Donor Liver Transplant Recipient...

DOI :10.12659/AOT.937988

Ann Transplant 2022; 27:e937988

12 Jan 2022 : Original article   8,640

Risk Factors for Developing BK Virus-Associated Nephropathy: A Single-Center Retrospective Cohort Study of ...

DOI :10.12659/AOT.934738

Ann Transplant 2022; 27:e934738

15 Mar 2022 : Case report   6,496

Combined Liver, Pancreas-Duodenum, and Kidney Transplantation for Patients with Hepatitis B Cirrhosis, Urem...

DOI :10.12659/AOT.935860

Ann Transplant 2022; 27:e935860

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358