25 August 2026 : Original article
Common Versus External Iliac Arterial Anastomosis in Kidney Transplantation: A Bicentric Retrospective Analysis of Vascular Complications and Graft Outcomes
Gaël Saint Jalmes ABCDEF 1, Matthias Buchler B 2, Jean Picquet B 3, Jean François Augusto B 4, Thibaut Culty
B 1, Souhil Lebdai BE 1, Franck Bruyere A 5, Pierre Bigot BDEG 1*
DOI: 10.12659/AOT.953269
Ann Transplant 2026; 31:e953269
Table 2 Vascular complications according to arterial anastomosis site.
| CI | EI | P | ||
|---|---|---|---|---|
| 157 | 359 | |||
| Total patients with vascular complications, n(%) | 35 (22.9) | 72 (20.1) | 0.56 | |
| Clavien I/II | Total, n(%) | 12 (6) | 45 (12.5) | 0.14 |
| Anastomotic arterial stenosis, n(%) | 7 (4.5) | 28 (7.8) | 0.18 | |
| Hematoma > 50 mL, n(%) | 8 (5) | 23 (6.4) | 0.7 | |
| Polar thrombosis, n(%) | 0 (0) | 1 (0.3) | 1 | |
| Clavien IIIa | Total, n(%) | 7 (4.5) | 1 (0.3) | < 0.01 |
| Angioplasty stenting, n(%) | 11 (7) | 2 (0.6) | < 0.01 | |
| Clavien IIIb | Total, n(%) | 1 (0.6) | 4 (1.1) | 1 |
| Anastomosis repair, n(%) | 0 (0) | 1 (0.3) | 1 | |
| Arterial anastomosis leakage, n(%) | 0 (0) | 3 (0.8) | 0.55 | |
| Venous anastomosis leakage, n(%) | 1 (0.6) | 3 (0.8) | 1 | |
| Clavien IV | Total, n(%) | 15 (0.6) | 21 (5.8) | 0.18 |
| Compressive hematoma, n(%) | 8 (5.1) | 10 (2.8) | 0.2 | |
| Iliac thrombosis, n(%) | 0 (0) | 7 (2) | 0.1 | |
| Graft artery thrombosis, n(%) | 3 (1.9) | 6 (1.7) | 1 | |
| Graft vein thrombosis, n(%) | 4 (2.5) | 3 (0.8) | 0.21 | |
| Graft loss, n(%) | 6 | 8 | ||
| 3.8% | 2.2% | 0.38 | ||
| Clavien V | Total, n(%) | 0 (0) | 1 (0.3) | 1 |
| Total patients with vascular complications ≥ Clavien III, n(%) | 23 (14.6) | 27 (7.5) | 0.01 | |