Successful Kidney Transplantation in a Man with Dacron “Trouser” Prosthesis

Ahlmén, J; Henriksson, Christen; G, Claes; Gelin, L E; Thorén, O.

doi:10.3109/00365597909180015

Cited by 11 publications

(2 citation statements)

References 2 publications

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“…In the majority of the instances in which sever aortoiliac disease is diagnosed intra-operatively during renal transplantation, anastomosis of renal artery to a vascular prosthetic graft posses a highly technical and unique challenge [2] [5]. Renal arterial anastomosis to a vascular prosthetic graft, was initially described by Sterioff et al in 1974 and later by Ahlmen et al Typically the case is not technically difficult except unless the iliac vein is scarred or fibrotic, in which case the renal vein can be anastomosed to inferior vena cava [1] [14] [15]. Coosemans et al reported on 16 renal transplant recipients in whom renal artery anastomosis was performed directly to a vascular prosthesis either simultaneously or after vascular surgery procedure for aortoiliac disease.…”

Section: Discussionmentioning

confidence: 99%

Renal Transplantation in Patients with Aortoiliac Prosthetic Grafts: A Case Report and Pertinent Review of Literature

Patil¹,

Sun²,

Geffner³

et al. 2015

OJOTS

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Renal transplantation in a patient with aortoiliac prosthetic graft is a unique challenge. It requires that the renal artery is anastomosed directly to the vascular prosthetic graft. Nearly 0.2% -1.7% of the patients with aortoiliac prosthesis require renal transplantation in their life time. Outcomes following such procedure are controversial and anecdotal. In this report we present a unique case in which the renal artery was anastomosed to vascular prosthetic graft with a pertinent review of the literature.

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Section: Discussionmentioning

confidence: 99%

Renal Transplantation in Patients with Aortoiliac Prosthetic Grafts: A Case Report and Pertinent Review of Literature

Patil¹,

Sun²,

Geffner³

et al. 2015

OJOTS

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“…In 1979, Ahlmen et al [13] reported the case of a 62-year-old man who benefited from a renal transplantation 12 years after an aorto-bi-iliac graft for aortic aneurysm. However, subsequent reports about grafting the renal artery to a vascular prosthesis during kidney transplantation have revealed conflicting results.…”

Section: Discussionmentioning

confidence: 99%

Results of Renal Transplantation on Alloplastic Arterial Grafts

Sagban¹,

Regus²,

Heller

et al. 2016

Urol Int

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Background: The aim of this retrospective study was to report results of a consecutive series of kidney transplant patients in whom the renal artery was implanted on a prosthetic vascular graft (PVG). Methods: Between January 2011 and December 2014, 208 deceased donor renal transplantations (68 female, 140 male, mean age 52, SD 16 years) were performed. Medical charts and outpatient clinical records of patients who had undergone renal artery implantation on a PVG were reviewed. Extensive literature research added to our 4 patients further 170 published cases during 1989 and 2015 and was compared with regular transplanted patients. Data on patient characteristics, prior vascular procedures, postoperative and long-term outcome were collected. Results: Patients with transplant renal artery anastomosis on a PVG were 4 years older than the control group. Function of the graft was similar in these patients compared to regular renal transplant patients. Resistance indices assessed in our clinic over the entire follow-up period showed also no significant difference between the 2 groups. Thirty-day mortality was 6% (none in our group), which occurred mostly in combination when renal transplantation and PVG replacement was performed simultaneously. Conclusion: Grafting of the renal artery to a PVG is feasible and yields good results, despite the technical difficulties involved.

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Aortoiliac reconstruction in preparation for renal transplantation

Brekke¹,

Lien²,

Sødal³

et al. 1993

Transpl Int

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Aortoiliac angiography has always been an integral part of the pretransplantation work-up of renal transplant candidates in Norway. The present study was undertaken to investigate the value of this routine. Based on the angiograms of approximately 1400 patients evaluated for renal transplantation during the 7-year period 1984-1991, 26 were found to have aortic and/or iliac atherosclerosis requiring pretransplant vascular reconstruction. Fifteen of the 26 patients had aneurysm of the abdominal aorta and 11 had extensive aortoiliac occlusive disease. A prosthetic graft was inserted in 25 patients and endarterectomy of the aortic bifurcation was performed in one. The cause of death was coronary heart disease in four of six patients who died before, and in one patient who died after, transplantation. Sixteen patients received a renal transplant while four patients are still on the waiting list. Fifteen of the recipients are alive, 14 with functioning renal transplants. The low yield of patients below 40 years of age requiring vascular reconstruction calls into question the routine use of angiographic investigation of renal transplant candidates below this age. However, we recommend this routine for the higher age groups because it often provides the surgeon performing the transplantation with valuable information. Aortoiliac reconstruction as preparation for renal transplantation is advocated when atherosclerosis of a degree that may preclude transplantation is found. Because of the high risk of myocardial infarction in these patients, one must be especially aware of coronary atherosclerosis when evaluating patients for this procedure.

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Successful Kidney Transplantation in a Man with Dacron “Trouser” Prosthesis

Cited by 11 publications

References 2 publications

Renal Transplantation in Patients with Aortoiliac Prosthetic Grafts: A Case Report and Pertinent Review of Literature

Renal Transplantation in Patients with Aortoiliac Prosthetic Grafts: A Case Report and Pertinent Review of Literature

Results of Renal Transplantation on Alloplastic Arterial Grafts

Aortoiliac reconstruction in preparation for renal transplantation

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