The Prognostic Significance of Iliac Vessel Calcification in Renal Transplantation

Abdominal aortic calcification is not superior over other vascular calcification in predicting mortality in hemodialysis patients: a retrospective observational study

“…Iliac artery calcification was significantly associated with all-cause mortality, while it was not significantly associated with cardiovascular mortality in the multivariate analysis in our study, which was consistent with previous research in a large population with longer follow-up durations [30]. Moreover, iliac vessel calcification was reported to be associated with mortality in renal transplant patients [31], and the plain X-ray of the pelvis was a useful screening tool to identify patients requiring further detailed vascular imaging before transplantation. This could be of value in choosing the ‘landing site’ for implantation or to exclude patients not suitable for transplantation.…”

Thoracic Aorta to Femoral Artery Bypass Allows Secondary Kidney Transplantation in Case of Major Iliac Artery Disease

“…11 Some studies underlined the negative impact of atherosclerosis on graft survival, 12 predictive for mortality and graft loss in patients with a renal transplant. 13 In view of this consideration and in case of major arterial calcification, the approach described in this article allows a kidney graft implanted on a safely performed vascular conduit with poor morbidity. It is well known that the kidney graft dramatically improves the survival and the quality of life of patients affected by end-stage dialysis renal failure.…”

Preoperative planning of renal transplantation: a comparison of non-contrast-enhanced ultrasonography, computed tomography, and magnetic resonance angiography with observations from surgery

“…Jappa values of up to 0.20 indicated poor agreement, 0.21-0.40 indicated fair agreement, 0.41-60 indicated moderate agreement, 0.61-0.80 indicated good agreement, and 0.81-1.00 indicated almost perfect agreement (17). The McNemar's test of paired proportions was used to test for significant differences and P < 0.05 was considered significant.…”

“…When a patient with severe arteriosclerotic disease undergoes renal transplantation, there is a risk of critical side effects. The presence of vascular calcifications in the iliac vessels may complicate or even preclude vascular anastomosis between the donor renal artery and the recipient iliac artery at the time of transplantation (2). Transplantation onto a vessel with significant stenosis can potentially result in a syndrome analogous to steal syndrome, leading to distal ischemia (3).…”

“…Access to renal transplantation is expanding to older, increasingly co-morbid patients (2). Hence, many candidates for kidney transplantation need to undergo vessel examination before the transplantation procedure.…”