Arterial reconstructions of kidney allograft

Authors

  • S. R. Vildanov Zaporizhzhia Medical Academy of Postgraduate Education Ministry of Health Protection in Ukraine,
  • A. O. Nykonenko Zaporizhzhia State Medical University,
  • I. V. Rusanov Zaporizhzhia Medical Academy of Postgraduate Education Ministry of Health Protection in Ukraine,
  • O. S. Nykonenko Zaporizhzhia Medical Academy of Postgraduate Education Ministry of Health Protection in Ukraine Zaporizhzhia State Medical University,

DOI:

https://doi.org/10.14739/2310-1210.2017.1.91633

Keywords:

kidney transplantation, allografts, renal artery

Abstract

The adequacy of blood supply in the allograft is one of the main factors of kidney transplant vitality and function and the effectiveness of transplantation itself.

The aim of the study was to investigate the effectiveness and variants of arterial reconstructions of kidney allograft.

Material and Methods. The results of kidney transplantation were analyzed among 66 patients. During the period from 2012 to 2016, all of them were done kidney transplantation in the department of transplantology. There were 37 (56.1 %) men, 29 women (43.9 %), the average age at the time of surgery was 33.2 ± 12.0 years. According to the aim of the study all the patients were divided into two groups: the first group included 12 (18.2 %) recipients, who received an arterial reconstruction. The age of the patients was 30.8 ± 6.5 years, there were 6 (50 %) men, other – women. Another group involved 54 (81.8 %) patients without arterial reconstruction. The average age of recipients was 33.7 ± 12.9 years, there were 31 (57.4 %) men, 23 women (42.6 %). We analyzed duplex examination of kidney allograft on the 7.6 ± 1.9 day after kidney transplantation.

Results: According to the analysis of duplex examination the features of blood disorder in kidney allografts were not determined. The differences between groups were non-significant (p > 0.05). There were not identified any stenosis, thrombosis or bleeding in any cases of arterial reconstructions of kidney allograft; function of kidney allograft has preserved for the period of 2.2 ± 1.4 years.

Conclusions: Adequate arterial reconstruction of kidney allograft is effective and safe method of kidney preparation for transplantation.

References

Kälble, T., Alcaraz, A., Budde, K., Humke, U., Karam, G., Lucan, M., et al. (2010) Guidelines on Renal Transplantation. European Association of Urology.

Nykonenko, A. S., Zavgorodniy, S. N., Pollyakov, N. N., Gubka, A. V., Pastuhov, O. V., Laktionov, I. A., & Sushko, Y. V. (2011) Angiosurgical aspects of kidney transplantation. Medecine today and tomorrow, 1–2(50–51), 174–177.

Humar, A., Matas, A. J., & Payne, W. D. (2006) Atlas of organ transplantation. Springer-Verlag London Limited.

Taghizadeh Afshari, A., Mohammadi Fallah, M. R., Alizadeh, M., Makhdoomi, K., Rahimi, E., & Vossoghian, S. (2016) Outcome of Kidney Transplantation From Living Donors With Multiple Renal ArteriesVersus Single Renal Artery. Iran J Kidney Dis., 10(2), 85–90.

Soliman, S. A., Shokeir, A. A., Kamal, A. I., El-Hefnawy, A. S., Harraz, A. M., Kamal, M. M., et al. (2011) Long-term outcome of grafts with multiple arteries in live-donor renal allotransplantation: Analysis of 2100 consecutive patients. Arab J Urol., 9(3), 171–7. doi: 10.1016/j.aju.2011.07.006.

Denecke, C., Biebl, M., Fritz, J., Brandl, A., Weiss, S., Dziodzio, T., et al. (2016) Reduction of Cold Ischemia Time and Anastomosis Time Correlates with Lower Delayed Graft Function Rates Following Transplantation of Marginal Kidneys. Ann Transplant, 21, 246–55. doi: 10.12659/AOT.896672.

Kamińska, D., Kościelska-Kasprzak, K., Chudoba, P., & Klinger, M. (2016) Kidney Injury Due to Warm Ischemia During Transplantation Can Be Reduced. Am J Transplant, 16(5), 1639. doi: 10.1111/ajt.13641.

Heylen, L., Pirenne, J., Samuel, U., Tieken, I., Naesens, M., Sprangers, B., & Jochmans, I. (2016) The Impact of Anastomosis Time During Kidney Transplantation on Graft Loss: A Eurotransplant Cohort Study. Am J Transplant. doi: 10.1111/ajt.14031.

Zorgdrager, M., Krikke, C., Hofker, S. H., Leuvenink, H. G., & Pol, R. A. (2016) Multiple Renal Arteries in Kidney Transplantation: A Systematic Review and Meta-Analysis. Ann Transplant., 29(21), 469–78.

Ashraf, H. S., Hussain, I., Siddiqui, A. A., Ibrahim, M. N., & Khan, M. U. (2013) The outcome of living related kidney transplantation with multiple renal arteries. Saudi J Kidney Dis Transpl., 24(3), 615–9.

Bozkurt, B., Koçak, H., Dumlu, E. G., Mesci, A., Bahadir, V., Tokaç, M., et al. (2013) Favorable outcome of renal grafts with multiple arteries: a series of 198 patients. Transplant Proc., 45(3), 901–3. doi: 10.1016/j.transproceed.2013.02.096.

Danovitch, G.M. (Ed.) (2010) Handbook of Kidney Transplantation. Lippincott Williams & Wilkins Handbook Series.

Pilotovich, V. S., & Kalachic, O. V. (2009) Khronicheskaya bolezn' pochek. Metody zamestitel'noj terapii pochek [Chronic kidney disease. Methods of replacement kidney therapy]. Moscow. [in Russian].

Hibutiya, M. Sh., Pinchuk, A. V., Shmarina, N. V., Dmitriev, I. V., Storozhev, R. V., Kokov, L. S. et al. (2013) Sosudistyye oslozhneniya posle transplantatsii pochki [Vascular complications after kidney transplantation]. Bulletin of transplantology and artificial organs, XV(4), P. 31–38.

Kalachik, O.V., & Fedoruk, А.M. (2016) Transplantatsiya pochki: osnovnyye khirurgicheskiye metody, ul'trazvukovaya vizualizatsiya i minimal'no invazivnaya korrektsiya patologii a llografta pochki [Kidney transplantation: main surgical methods, ultrasonic visualization and minimal invasive correction of kidney allograft pathology]. Minsk: Paradox. [in Belarus].

Szabo-Pap, M., Zadori, G., Fedor, R., Illesy, L., Toth, F., Kanyari, Z., et al. (2016) Surgical Complications Following Kidney Transplantations: A Single-Center Study in Hungary. Transplant Proc. Sep, 48(7), 2548–2551. doi: 10.1016/j.transproceed.2016.07.012.

Nasserala, J. C., Oliveira, C. M., Cerqueira, J. B., Souza, S., Silva, S. L., Santos, L. C., et al. (2016) Artery Stenosis of the Renal Graft: Experience of a Center of Northeastern Brazil. Transplant Proc., 48(1), 74–80. doi: 10.1016/j.transproceed.2015.11.004.

Moreno, C. C., Mittal, P. K., Ghonge, N. P., Bhargava, P., & Heller, M. T. (2016) Imaging Complications of Renal Transplantation. Radiol Clin North Am., 54(2), 235–49. doi: 10.1016/j.rcl.2015.09.007.

Fallahzadeh, M. K., Yatavelli, R. K., Kumar, A., & Singh, N. (2014) Acute transplant renal artery thrombosis due to distal renal artery stenosis: A case report and review of the literature. J Nephropathol., 3(3), 105–8. doi: 10.12860/jnp.2014.20.

Ammi, M., Daligault, M., Sayegh, J., Abraham, P., Papon, X., Enon, B., & Picquet, J. (2016) Evaluation of the Vascular Surgical Complications of Renal Transplantation. Ann Vasc Surg., 33, 23–30. doi: 10.1016/j.avsg.2016.03.002.

Hiramitsu, T., Okada, M., Futamura, K., Yamamoto, T., Tsujita, M., Goto, N., et al. (2016) Impact of grafting using thin upper pole artery ligation on living-donor adult kidney transplantation: The STROBE study. Medicine (Baltimore), 95(42), e5188. doi: 10.1097/MD.0000000000005188.

He, B., Mou, L., Mitchell, A., & Delriviere, L. (2013) Meticulous use of techniques for reconstruction of multiple renal arteries in live donor kidney transplantation. Transplant Proc., 45(4), 1396–8. doi: 10.1016/j.transproceed.2012.12.013.

Amirzargar, M. A., Babolhavaeji, H., Hosseini, S. A., Bahar, H., Gholyaf, M., Dadras, F., et al. (2013) The new technique of using the epigastric arteries in renal transplantation with multiple renal arteries. Saudi J Kidney Dis Transpl., 24(2), 247–53.

Benoît, G. (2011) Surgical view of a series of 3,000 kidney transplantations. Bull Acad Natl Med., 195(2), 351–62.

Tomić, A., Milović, N., Marjanović, I., Bjelanović, Z., Leković, I., Micković, S., & Stamenković, D. (2015) Different techniques of vessel reconstruction during kidney transplantation. Vojnosanit Pregl., 72(7), 614–8. doi: 10.2298/VSP131210038T.

Hwang, J. K., Kim, S. D., Park, S. C., Choi, B. S., Kim, J. I., Yang, C. W., et al. (2010) The long-term outcomes of transplantation of kidneys with multiple renal arteries. Transplant Proc., 42(10), 4053–7. doi: 10.1016/j.transproceed.2010.09.075.

Uysal, E., Yuzbasioglu, M. F., Ikidag, M. A., Dokur, M., & Gurer, O. A. (2016) Successful Elongation of a Short Graft Renal Artery by a Gonadal Vein. Exp Clin Transplant., 20. doi: 10.6002/ect.2015.0002.

McLoughlin, L. C., Davis, N. F., Dowling, C. M., Power, R. E., Mohan, P., Hickey, D. P., et al. (2014) Ex vivo reconstruction of the donor renal artery in renal transplantation: a case-control study. Transpl Int., 27(5), 458–66.

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1.
Vildanov SR, Nykonenko AO, Rusanov IV, Nykonenko OS. Arterial reconstructions of kidney allograft. Zaporozhye Medical Journal [Internet]. 2017Feb.1 [cited 2024Dec.19];19(1). Available from: http://zmj.zsmu.edu.ua/article/view/91633

Issue

No. 1 (2017): Zaporozhye medical journal

Section

Original research

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