Living Related Renal Transplantation Using a Saphenous Vein Graft: A Case Report

Shimizu, Tomokazu; Omoto, Kazuya; Iida, Shoichi; Inui, Masashi; Tsukuda, Fumio; Toma, Hiromu; Iizuka, Junpei; Ishida, Hideyuki; Tanabe, Kazunari

doi:10.1016/j.transproceed.2018.03.089

Cited by 2 publications

(7 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several methods have been proposed to maximize or add length to the right renal vein for easier anastomosis 5,7,8,13–15 . One proposed solution is optimizing the length of the right renal vein during procurement.…”

Section: Discussionmentioning

confidence: 99%

Deceased donor vein extension grafts for right living donor kidney transplantation

Meinders

Knight

Eagar

et al. 2023

Clinical Transplantation

View full text Add to dashboard Cite

IntroductionIn an effort to maximize living donor kidney utilization, we describe the use of deceased donor vein extension grafts for right‐sided living donor kidneys and report our single‐center experience using this technique.MethodsA retrospective review of kidney transplant recipients (KTR) who received a right living donor kidney with deceased donor vein extension graft. Recipient demographics, postoperative graft function, and surgical complications were reviewed. Living donor nephrectomies were performed laparoscopically. Vein grafts were obtained from recent deceased donor procurements. End‐to‐end anastomosis of the graft to the renal vein was performed prior to implantation.ResultsThirty‐eight KTR received a right kidney transplant with deceased donor extension grafts. The median recipient age and BMI were 53.0 years and 29.3 kg/m2. Total 71% were male. Ninety‐five percent of grafts displayed immediate graft function, with two recipients requiring temporary dialysis due to anaphylaxis from induction therapy. Median serum creatinine at two weeks was 1.6 mg/dL and at three months was 1.5 mg/dL. There were no graft thromboses.ConclusionUtilization of deceased donor extension grafts for short right renal veins is a simple technique that expands the donor pool for living donor renal transplantation. Our experience resulted in no technical complications and excellent early graft function.

show abstract

Section: Discussionmentioning

confidence: 99%

Deceased donor vein extension grafts for right living donor kidney transplantation

Meinders

Knight

Eagar

et al. 2023

Clinical Transplantation

View full text Add to dashboard Cite

show abstract

“…3 To lengthening the allograft short renal vein, some techniques have been performed, including a deceased donor's vena cava patch, a donor's or recipient's gonadal vein, a deceased donor's iliac vein, a superficial femoral vein graft, and a saphenous vein graft. [2][3][4] A saphenous vein graft is a good material, but the difference in the diameter of this vein as compared with the renal vein causes technical difficulties. 5 We previously mentioned renal vein lengthening using the saphenous vein in a case of short right allograft renal vein.…”

Section: Editorial Commentmentioning

confidence: 99%

“…5 We previously mentioned renal vein lengthening using the saphenous vein in a case of short right allograft renal vein. 4 Spiral anastomosis was performed with the longitudinally cut saphenous vein fragment to form a tubular shape, enabling anastomosis with the right allograft renal vein to achieve lengthening. 4 When there are two veins, as reported in Miyauchi et al's study, this Y-shaped saphenous vein graft seems to be effective in preventing outflow obstruction and to achieve the lengthening of the right allograft renal vein.…”

Section: Editorial Commentmentioning

confidence: 99%

“…4 Spiral anastomosis was performed with the longitudinally cut saphenous vein fragment to form a tubular shape, enabling anastomosis with the right allograft renal vein to achieve lengthening. 4 When there are two veins, as reported in Miyauchi et al's study, this Y-shaped saphenous vein graft seems to be effective in preventing outflow obstruction and to achieve the lengthening of the right allograft renal vein. 1 I would like to use the Y-shaped saphenous vein graft in case of short and multiple allograft renal veins.…”

Section: Editorial Commentmentioning

confidence: 99%

“…A saphenous vein graft is a good material, but the difference in the diameter of this vein as compared with the renal vein causes technical difficulties 5 . We previously mentioned renal vein lengthening using the saphenous vein in a case of short right allograft renal vein 4 . Spiral anastomosis was performed with the longitudinally cut saphenous vein fragment to form a tubular shape, enabling anastomosis with the right allograft renal vein to achieve lengthening 4 …”

mentioning

confidence: 99%

See 2 more Smart Citations

Living Related Renal Transplantation Using a Saphenous Vein Graft: A Case Report

Cited by 2 publications

References 13 publications

Deceased donor vein extension grafts for right living donor kidney transplantation

Deceased donor vein extension grafts for right living donor kidney transplantation

Editorial Comment to Venous reconstruction using a Y‐shaped saphenous vein in kidney transplantation: A report of three cases

Contact Info

Product

Resources

About