Transplantation rénale sur prothèse vasculaire

Nédelec, M; Glémain, Pascal; Rigaud, J.; Karam, Georges; Thuret, Rodolphe; Badet, Lionel; Kleinclauss, F.; Timsit, Marc‐Olivier; Branchereau, J.

doi:10.1016/j.purol.2019.06.005

Cited by 6 publications

(2 citation statements)

References 22 publications

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“…It is obvious that percutaneous endovascular procedures should be the therapy of choice in kidney transplant recipients since they are less invasive, are associated with less morbidity and lower mortality, can be repeated if necessary and allow more rapid recovery of patients. However, in some patients with severe and circumferential bilateral aorto-iliac calcification, a complete arterial reconstruction in order to prepare subsequent kidney transplantation is required [ 8 , 9 ]. Nevertheless, the timing of kidney transplantation is unpredictable and transplantation is not guaranteed even if revascularization is performed before.…”

Section: Discussionmentioning

confidence: 99%

“…Revascularization can include endovascular procedures such as iliac stenting, or perioperative iliac endarteriectomies in order to allow adequate clamping and arterial anastomosis. However, in some cases with severe and circumferential bilateral aorto-iliac calcification, a complete arterial reconstruction in order to prepare subsequent kidney transplantation is needed [7][8][9]. The aim of this study was to analyze the outcomes of kidney transplantation candidates who underwent aortobifemoral bypass (ABFB) for aorto-iliac calcifications over a 10-year period.…”

Section: Introductionmentioning

confidence: 99%

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Aortobifemoral Bypass in Kidney Transplant Candidates: A Ten-Year Experience

Bonnin,

Kuntz,

Caillard

et al. 2024

Transpl Int

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In patients with severe aorto-iliac calcifications, vascular reconstructions can be performed in order to allow kidney transplantation. The aim of this study was to analyze the outcomes of kidney transplant candidates who underwent an aortobifemoral bypass (ABFB) for aorto-iliac calcifications. A retrospective study including all kidney transplant candidates who underwent an ABFB between 2012 and 2022 was performed. Primary outcome was 30-day morbidity-mortality after ABFB. Secondary outcome was accessibility to kidney transplant waiting list. Twenty-two ABFBs were performed: 10 ABFBs in asymptomatic patients presenting severe aorto-iliac circumferential calcifications without hemodynamic consequences, and 12 ABFBs in symptomatic patients in whom aorto-iliac calcifications were responsible for claudication or critical limb threatening ischemia. Overall 30-day mortality was 0%. Overall 30-day morbidity was 22.7%: 1 femoral hematoma and 1 retroperitoneal hematoma requiring surgical drainage in the asymptomatic group, and 2 digestive ischemia requiring bowel resection and 1 femoral hematoma requiring surgical drainage in the symptomatic group. Among the 22 patients, 20 patients could access to kidney waiting list and 8 patients underwent a kidney transplantation, including 3 living-donor transplantations. Aorto-iliac revascularization can be an option to overcome severe calcifications contraindicating kidney transplantation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%