Indian Journal of Urology Users online:440  
IJU
Home Current Issue Ahead of print Editorial Board Archives Symposia Guidelines Subscriptions Login 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size
RESEARCH ARTICLE
Year : 2004  |  Volume : 20  |  Issue : 2  |  Page : 130-133

Multiple vessel renal transplant - army hospital (research and referral) experience


Department of Urology, Army Hospital (Research and Referral), Delhi Cantt, India

Correspondence Address:
Rajesh Khanna
Department of Urology, Army Hospital (Research and Referral), Delhi Cantt - 110 010
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

Objectives: Over the past three decades graft and pa負ient outcomes in kidney transplantation have improved dramatically. The aim of our study was to measure the prevalence of multiple artery renal transplants, and to analyze the rates of vascular and urologic complications in these recipients. Methods: Between July 1991 andAugust 2003 the trans計lantation team at our hospital performed 340 kidney transplantations. Twenty-nine patients (8.53%) who un苓erwent multiple-artery anastomosis were compared with 311 patients (91.47%) with single-artery anastomosis. Of the 29 grafts with multiple arteries, 23 (79.3%) had dou苑le arteries and 5 (17.2%) had 3 arteries. The solitary patient with quadruple arteries (3.5%) underwent a suc苞essful double pyjama anastomosis. Postoperatively all patients were placed on immunosuppression and graft outcomes assessed. Results: Multiple vessel transplantation was attended by minimal postoperative complications. There was no significant different in graft function, assessed by the in苞idence of acute tubular necrosis (ATN) and post-trans計lantation hypertension. The patient survival rates were comparable and none of the patients who received multi計le renal artery grafts developed vascular or urologic com計lications. Conclusions: Transplantation of kidneys with multiple renal arteries is generally avoided. However, shortage of organs continues to be critical. Our results confirm that multiple artery grafts can be successfully transplanted with results similar to single vessel kidney grafts.


[FULL TEXT] [PDF Not available]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed5191    
    Printed101    
    Emailed1    
    PDF Downloaded0    
    Comments [Add]    

Recommend this journal

 

HEALTHWARE INDIA