Vascular complications after 725 kidney transplantations during 3 decades

Orlić, Petar; Drešćik, Ivan; Ivančić, Aldo; Blecic, G; Budiselić, Berislav; Velčić, Gianpaolo; Maričić, Anton; Oguić, Romano; Mozetič, Vladimir; Valenčić, Maksim; Sotošek, Stanislav; Vukas, Duje

doi:10.1016/s0041-1345(03)00506-2

Cited by 54 publications

(49 citation statements)

References 5 publications

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“…Using this technique, the external iliac vessels are anastomosed in an end-to-side fashion, because a significant reduction of arterial stenosis is achieved by performing end-to-side anastomoses of the renal graft artery to the external iliac artery instead of the internal artery. 12 Furthermore, anastomoses of the internal artery is suggested as being involved in the occurrence of male sexual dysfunction. 13 Despite the small incision in our approach, there is still good access to the external iliac vessels.…”

Section: Discussionmentioning

confidence: 99%

Minimal Access Kidney Transplant: A Novel Technique To Reduce Surgical Tissue Trauma

Brockschmidt¹,

Huber²,

Paschke³

et al. 2012

Exp Clin Transplant

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, 19-45 min). Follow-up for all recipients was at least 18 months. There was no reintervention necessary, no wound infections, no primary nonfunction or a delayed graft function, no need for dialysis, no acute rejection episodes, no graft loss, no wound dehiscence, no incisional hernia, or lymphocele. Furthermore, no urologic complications or vascular complications were observed. Conclusions: Our reported technique was used on heart-beating donor kidneys as well as on livingdonor organs and is safe with less comorbidity. This minimal access kidney transplant technique might be an alternative procedure for avoiding some of the disadvantages of conventional approaches used for kidney transplant.

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Section: Discussionmentioning

confidence: 99%

Minimal Access Kidney Transplant: A Novel Technique To Reduce Surgical Tissue Trauma

Brockschmidt¹,

Huber²,

Paschke³

et al. 2012

Exp Clin Transplant

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“…3,7,8 In addition to any degree of graft dysfunction, extrarenal pseudoaneurysms of transplanted kidneys may also cause the loss of the graft. [2][3][4] Rupture of the pseudoaneurysm is a probable serious complication and may cause death of the patient. Therefore, extrarenal pseudoaneurysms of transplanted kidneys must be treated.…”

Section: Discussionmentioning

confidence: 99%

“…They may be devastating and cause functional impairment and even loss of the graft. [1][2][3][4] Treatment for this abnormality is necessary for the viability of the graft.…”

Section: Introductionmentioning

confidence: 99%

Extrarenal Pseudoaneurysm of the Arterial Anastomosis in a Renal Transplant: Endovascular Coil Embolization with Balloon Remodeling Technique

et al. 2011

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Anastomotic pseudoaneurysms of transplanted kidneys are a very rare complication and encountered in less than 1% of such operations. They may be devastating and cause functional impairment and even loss of the graft. In this report, we present the first case of treatment of extrarenal pseudoaneurysm of arterial anastomosis in a renal transplant patient with endovascular coil embolization with the balloon remodeling technique. This method is mostly used in the treatment of wide-neck intracranial aneurysms.

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“…In contrast to other causes of transplant dysfunction, vascular complications have a high associated morbidity and mortality [5,6]. Once identified, vascular lesions are usually easily repaired [7].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Endovascular Repair and Savage of Vascular Stream After Spontaneous and/or Iatrogenic Complications of Kidney Transplantation

Cillis¹,

Bortone²,

Ditonno³

et al. 2009

VDP

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Background: Vascular complications are uncommon (1-3%) in kidney transplantation. Recipient morbidities may result in loss of the allograft. Early and middle-term vascular complications include external iliac artery iatrogenic or spontaneous lesions and drainage vein thrombosis. Percutaneous transluminal angioplasty (PTA) is proposed as a valid, less invasive and alternative treatment to surgical repair. Material and Methods: Three patients, in the last two years, referred to our Institute: one affected by dissection secondary to the site clamp and suture stenosis of the external iliac artery, one spontaneous pseudoaneurysm with uncontained rupture of the same artery and another with pseudoaneurysm at the site of previous transplantation. All patients were treated by endovascular PTA approach. Patients with pseudo-aneurysm were treated by self-expandable stent-graft PTFE endoprostheses (Hemobahn-Gore) release whereas in the other a balloon-expandable covered stent (Advanta V12 Boston Scientific) was used.Results: After treatment clinical, ultrasonographic and Doppler parameters showed a complete functional recovery of ileofemoral axis as well renal function. All patients were discharged 5 days after the procedure. At an average follow-up of 12 months, by angio-CT scan, no recurrence of stenoses or aneurysms were found. Conclusion: PTA followed by stent placement is safe, effective and less invasive than surgical repair. Short and middleterm follow-up showed the benefit of the procedure, moreover the hospital stay is dramatically reduced. All renal allograft recipients, with vascular complications, should undergo to PTA procedure as a first option.

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Vascular complications after 725 kidney transplantations during 3 decades

Cited by 54 publications

References 5 publications

Minimal Access Kidney Transplant: A Novel Technique To Reduce Surgical Tissue Trauma

Minimal Access Kidney Transplant: A Novel Technique To Reduce Surgical Tissue Trauma

Extrarenal Pseudoaneurysm of the Arterial Anastomosis in a Renal Transplant: Endovascular Coil Embolization with Balloon Remodeling Technique

Percutaneous Endovascular Repair and Savage of Vascular Stream After Spontaneous and/or Iatrogenic Complications of Kidney Transplantation

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