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2008 | 80 | 3 | 132-138
Article title

Treatment of Vascular Complications After Kidney Transplantation

Content
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Languages of publication
EN
Abstracts
EN
The aim of the study was to determine the frequency of occurrence and treatment methods of early vascular complications after kidney transplantation.Material and methods. A retrospective analysis comprised of 245 patients subjected to kidney transplantation during the period between 1998 and 2006 in our department. Of these, 236 patients received organs from deceased donors, while nine patients received organs from living donors. The occurrence of vascular complications and the diagnostic and treatment methods used were determined for each patient. Patients operated on during the period between 1998 and 2001 were compared to those operated on between 2002 and 2006.Results. Twenty-two patients presented with vascular complications after kidney transplantation. The following were observed: bleeding (6.1%), anastomotic stenosis (1.2%), renal vein thrombosis (0.81%), renal artery thrombosis (0.4%), and false aneurysm of the renal artery (0.4%). Nineteen patients underwent surgery, and two required intravascular procedures while one was subjected to conservative treatment. Good treatment results were obtained in 17 patients, while five patients had the transplanted kidney removed.Seventy-eight transplantations were performed in the first four years (1998-2001). In that period, vascular complications occurred in 13 patients (17%). During the following four years (2002-2006) we transplanted 167 patients, and vascular complications were observed in nine patients (5%). Statistical analysis showed a significant reduction (p=0.004-test chi2) in the number of vascular complications during the latter period.Conclusions. As surgeons gain experience treating transplant recipients, the number of vascular complications decreases. Diagnostics and treatment depends on the early visualization of complications by means of Doppler ultrasound and angio-MRI examinations. The use of intravascular techniques could be an effective and safe therapeutic method in the case of vascular complications.
Publisher

Year
Volume
80
Issue
3
Pages
132-138
Physical description
Dates
published
1 - 3 - 2008
online
7 - 4 - 2008
Contributors
  • Department of Gastroenterological Surgery and Transplantology, CSK MSWiA
  • Department of Nuclear Medicine, CSK MSWiA
author
  • Department of Gastroenterological Surgery and Transplantology, CSK MSWiA
author
  • Department of General and Vascular Surgery, CSK MSWiA
author
  • Department of Gastroenterological Surgery and Transplantology, CSK MSWiA
References
  • Humar A, Matas AJ: Surgical complications after kidney transplantation. Semin Dial 2005; 18(6): 505-10.[PubMed][Crossref]
  • Orlic P, Vukas D, Drescik I et al.: Vascular complications after 725 kidney transplantations during 3 decades. Transplant Proc 2003; 35(4): 1381-84.
  • Buturovic-Ponikvar J: Renal transplant artery stenosis. Nephrol Dial Transplant 2003; 18(5): 74-77.
  • Rowiński W, Wałaszewski J, Pączek L: Transplantologia Kliniczna: PZWL, Warszawa 2004.
  • Szmidt J: Podstawy chirurgii. Medycyna Praktyczna, Kraków 2003.
  • Bakirtas H, Guvence N, Eroglu M et al.: Surgical approach to cases with multiple renal arteries in renal transplantation. Urol Int 2006; 76(2): 169-72.[PubMed][Crossref]
  • Nakatani T, Uchida J, Han YS et al.: Renal allograft arteriovenous fistula and large pseudoaneurysm. Clin Transplant 2003; 17(1): 9-12.[Crossref][PubMed]
  • Polak WG, Jezior D, Garcarek J et al.: Incidence and outcome of transplant renal artery stenosis: single center experience; Transplant Proc 2006; 38(1): 131-32.[Crossref][PubMed]
  • Rowiński W, Wałaszewski J: Ethical and Societal Problems in Organ Transplantation. Annals of Transplant 2002; Vol.7, (4) 7-9.
  • Carrafiello G, Lagana D, Mangini M et al.: The role of interventional radiology in the management of kidney transplant complications. Radiol Med 2005; 110(3): 249-61.[PubMed]
  • Benedetti E, Troppmann C, Gillingham K et al.: Short- and long-term outcomes of kidney transplants with multiple renal arteries. Ann Surg 1995; 221(4) 406-14.[Crossref]
  • Dreikorn K, Horsch R, Rossler W: Surgical-urologic complications after kidney transplantation. Urologe A 1982; 21(5): 256-64.[PubMed]
  • Mazzucchi E, Souza AA, Nahas WC et al.: Surgical complications after renal transplantation in grafts with multiple arteries. Int Braz J Urol 2005; 31(2): 125-30.
  • Humke U, Takahashi M, Siemer S et al.: Interventional radiologic management for early posttransplant perfusion failure of renal allografts. Aktuelle Urol 2004; 35(4): 320-25.[Crossref]
  • Tanabe K, Takahashi K, Kawaguchi H et al.: Surgical complications of pediatric kidney transplantation: a single center experience with the extraperitoneal technique. J Urol 1998; 160(3 Pt 2): 1212-15.[PubMed]
  • Gałązka Z, Szmidt J, Nazarewski S et al.: Kidney transplantation in recipients with atherosclerotic iliac vessels.: Ann Transplant 1999; 4(2): 43-44.[PubMed]
  • Gałązka Z, Świercz P, Rongies W et al.: Aneurysm of common and internal iliac arteries 14 years after kidney transplantation - a case report. Ann Transplant 2002; 7(1): 22-24.[PubMed]
  • Guirguis N, Buisavljevic MN, Self S et al.: Acute renal artery and vein thrombosis after renal transplant, associated with a short partial thromboplastin time and factor V Leiden mutation. Ann Clin Lab Sci 2000; 30: 75-78.[PubMed]
  • Klow NE, Paulsen D, Vatne K et al.: Percutaneous transluminal renal artery angioplasty using the coaxial technique: ten years of experience from 591 procedures in 419 patients. Acta Radiol 1998; 39: 594-603.
  • Humar A, Johnson EM, Gillingham KJ et al.: Venous thromboembolic complications after kidney and kidney-pancreas transplantation: a multivariate analysis. Transplantation 1998; 65: 229-34.[Crossref][PubMed]
  • Troppman C, Pierce JL, Gandhi MM et al.: Higher surgical wound complication rates with sirolimus immunosuppression after kidney transplantation: a matched-pair pilot study. Transplantation 2003; 76: 426-29.[Crossref]
  • Humar A, Ramcharan T, Denny R et al.: Are wound complications after a kidney transplant more common with modern immunosuppression? Transplantation 2001; 72: 1920-23.[Crossref][PubMed]
Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10035-008-0015-4
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