| RESEARCH ARTICLE |
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| Year : 2004 | Volume
: 20
| Issue : 2 | Page : 130-133 |
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Multiple vessel renal transplant - army hospital (research and referral) experience
Rajesh Khanna, R Sood, P Madhusoodanan, T Sinha, AS Sandhu, SK Gupta, AA Pradhan, A Kumar, GS Sethi, A Srivastava
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
 Source of Support: None, Conflict of Interest: None  | Check |
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Objectives: Over the past three decades graft and patient 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 transplantation team at our hospital performed 340 kidney transplantations. Twenty-nine patients (8.53%) who underwent 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 double arteries and 5 (17.2%) had 3 arteries. The solitary patient with quadruple arteries (3.5%) underwent a successful 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 incidence of acute tubular necrosis (ATN) and post-transplantation hypertension. The patient survival rates were comparable and none of the patients who received multiple renal artery grafts developed vascular or urologic complications.
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. |
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