Grafts With Multiple Renal Arteries in Kidney Transplantation

Copyright © 2020 Elsevier Inc. All rights reserved..

BACKGROUND: Renal grafts with multiple renal arteries (MRA) are a compelling issue in surgery of kidney transplantation. Transplantations using "grafts with MRA" have conflicting results. Here, we present our experiences on the issue.

METHOD: This is a single-center, observational, descriptive study. One hundred ninety-nine patients with end-stage renal disease received a kidney graft from their living- or deceased-related donors in our center between July 2016 and May 2017. We included all recipients to the study. Patients were divided into the following 2 groups: Group 1, recipients who received a renal graft with single renal artery, and Group 2, recipients who received a renal graft with MRA. Groups were compared for estimated glomerular filtration rates (months 1-3 and 12), delayed graft function, and graft survival. Data were analyzed by using SPSS for Windows version 15.

RESULTS: One hundred ninety-five recipients with all documented data were analyzed. Graft function was compared between 2 groups in months 1, 3, and 12 and found both to have similar outcomes. MRA has been indicated to have no impact on delayed graft function, higher risk for vascular injury, and biopsy-proven acute tubular necrosis. Also, anastomosis sides have been found to have no importance on graft function in recipients with MRA (P > .05 between all sides).

CONCLUSION: Our study indicates grafts with MRA and grafts with a single renal artery have comparable results in the first post-transplant year.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:53

Enthalten in:

Transplantation proceedings - 53(2021), 3 vom: 24. Apr., Seite 933-940

Sprache:

Englisch

Beteiligte Personen:

Sevmis, Murat [VerfasserIn]
Demir, Mehmet Emin [VerfasserIn]
Merhametsiz, Ozgur [VerfasserIn]
Aktas, Sema [VerfasserIn]
Sevmis, Sinasi [VerfasserIn]
Uyar, Murathan [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Observational Study

Anmerkungen:

Date Completed 08.06.2021

Date Revised 08.06.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.transproceed.2020.07.019

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM31521631X