OUTCOME OF LIVE DONOR RENAL ALLOGRAFT TRANSPLANTATION FROM SINGLE VS MULTIPLE ARTERIES´ GRAFTS
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Title | OUTCOME OF LIVE DONOR RENAL ALLOGRAFT TRANSPLANTATION FROM SINGLE VS MULTIPLE ARTERIES´ GRAFTS |
Authors | |
Abstract | This study compare:.´ [he results 0;,.1 outcome of live-donor transplantation between single-artery "´,"´ mull/pic-ana)´ transplant kidneys. Cadaver kidneys with multiple vessels arc retrieved with a patch of the donor artery. 111is is not possible ill the !iI´C donation seuing. Therefore !i1´C donation of rcnalallografts with multiple arteries is lIot a straiglnjorward surgery. We studied 22 muttiplc-anery live donor renal allografts among 223 renal transplantations in a sequential. prospective mOllTlCr [or 3 ynJrs. One-year gra{! survival was l)(j.:V:(, ill single-anery group and 95.5":{, in tlns muliplc . arIer)´ group. III the singleartery group the complications wae: dctavcd gm[l [unction ill 3.5´7;, rean astomosis o[ tlu: v-essels in 2,9´:k, transient post-transplant dialysis in 1. 5 (X" graft nephrectomy ill 2,5´;{, AT"´ ill 1":´(" Urine leak in 2.5´:{´, renal anav stenosis in O.5S´(" and lvmpho cclc ill 1%. NOlie: o] thcsc occurred in themultiptc-oncry group. This difference is statistically significant IX~ = 8.10). Cold ischemia time: l"´(lS significantly lunger in lilt´ multiple . anery group (panastomosis was not siglliftcanl~"´ dlffaelll among lht´ 2,1,´Youps (I = 1.255). Ttu: totat tcngtli of tile operation IVas IOllga ill lhe mutsiptc-oncry group (p < O. 00(5). In conclusion it is appareIH snas t lu: intra-op crativc complications. posi-operati vc complications and one-year grafr survival are ccnnparabtc illsingle - ane´Y´ "´."´. mutsiptc - arrcry renal transplantation. tn other words, !i1´C - donor transptannuion with muliip!c . arIa)´ reno! units is safe and has a good OI/lCO!1le. |
Publisher | Tehran University of Medical Sciences |
Date | 2012-10-20 |
Source | Acta Medica Iranica Vol 36, No 1 (1998) |