Successful Implantation of a Renal Allograft With Quintuple Arteries Retrieved From a Living Donor.
Exp Clin Transplant
; 16(6): 751-753, 2018 12.
Article
de En
| MEDLINE
| ID: mdl-28229801
ABSTRACT
In renal transplant, multiple renal arteries in a donor require meticulous vascular reconstruction for successful allograft function in the recipient. Presence of more than 4 renal arteries is usually considered to be a relative contraindication for proceeding with renal donation. We report a living-donor renal transplant procedure where preoperative radiologic imaging of the donor showed 3 left renal arteries. Two additional arteries were identified intraoperatively. All 5 arteries were reconstructed during the back-table procedure, and the allograft was implanted in the recipient. At 3-month follow-up, computed tomographic imaging demonstrated patency of all 5 renal arteries, and the patient had a serum creatinine level of 0.8 mg/dL. Unidentified arteries on preoperative imaging may occasionally require complex reconstruction. A renal allograft with 5 renal arteries is usually a contraindication for renal donation. Here, we describe the first published case of successful kidney transplant after reconstruction of 5 renal arteries in the donor graft.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Artère rénale
/
Transplantation rénale
/
Donneur vivant
/
Défaillance rénale chronique
Type d'étude:
Diagnostic_studies
/
Prognostic_studies
Limites:
Adult
/
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
Exp Clin Transplant
Sujet du journal:
TRANSPLANTE
Année:
2018
Type de document:
Article
Pays d'affiliation:
Inde