31 December 2024 : Original article
Evaluating Graft Loss Risk in Living-Donor Kidney Transplants with Multiple Renal Arteries
Kuniaki Inoue
ABC 1, Shunta Hori ABCDE 1, Mitsuru Tomizawa ABCD 1, Tatsuo Yoneda ABCD 1, Yasushi Nakai AD 1, Makito Miyake AD 1, Nobumichi Tanaka AD 1,2, Kiyohide Fujimoto AE 1*
DOI: 10.12659/AOT.946489
Ann Transplant 2024; 29:e946489
Table 2 Clinical information in KT recipients with SRA and MRA.
| Characteristics | SRA | MRA |
|---|---|---|
| Number | 150 | 47 |
| Gender, n (%) | ||
| Men | 94 (62.7) | 25 (53.2) |
| Women | 56 (37.3) | 22 (46.6) |
| Donor gender, n (%) | ||
| Men | 55 (36.7) | 23 (48.9) |
| Women | 95 (63.3) | 24 (51.1) |
| Age at KT, median (IQR) | 49.0 (39.2–59.7) | 43 (34.5–54.0) |
| Primary kidney disease, n (%) | ||
| Diabetes mellitus | 31 (20.6) | 14 (29.7) |
| IgA nephropathy | 42 (28.0) | 7 (14.9) |
| Nephrosclerosis | 12 (8.0) | 3 (6.3) |
| Others | 65 (43.3) | 24 (51.0) |
| BMI (kg/m) at KT, median (IQR) | 22.1 (19.4–25.1) | 22.3 (20.0–25.3) |
| PEKT, n (%) | 48 (32.0) | 15 (31.9) |
| ABO blood group compatibility, n (%) | ||
| Match | 68 (45.6) | 20 (42.6) |
| Mismatch | 39 (26.2) | 12 (25.5) |
| Incompatibility | 42 (28.2) | 15 (31.9) |
| Donor-nephrectomy method, n (%) | ||
| Open | 12 (26.7) | 24 (53.3) |
| HALS | 27 (60.0) | 14 (31.1) |
| Laparoscope | 6 (13.3) | 7 (15.6) |
| Donor-nephrectomy, left or right, n (%) | ||
| Left | 117 (78.5) | 26 (55.3) |
| Right | 32 (21.5) | 21 (44.7) |
| Number of RA, n (%) | ||
| SRA | 150 (100) | |
| MRA | ||
| 2 RA | 41 (87.2) | |
| 3 RA | 5 (10.6) | |
| 4 RA | 1 (0.02) | |
| MRV, n (%) | 14 (9.5) | 6 (12.8) |
| Anastomosed to illiac artery, internal or external, n (%) | ||
| Internal | 98 (68.1) | 31 (66.0) |
| External | 42 (29.2) | 16 (34.0) |
| Common | 4 (2.8) | 0 |
| Ureteral stent placed, n (%) | 48 (33.1) | 19 (40.4) |
| KT – kidney transplant; IQR – interquartile range; BMI – body mass index; PEKT – preemptive kidney transplantation; HALS – hand assistant laparoscopic surgery; MRV – multiple renal veins; MRA – multiple renal arteries. | ||