INITIAL EXPERIENCES WITH THREE RENAL ARTERIES OF KIDNEY ALLOGRAFT IN KIDNEY TRANSPLANTATION: A CASE SERIES

Objective: This study reported a case series of our initial experiences in kidney transplantation with three renal arteries of the kidney allograft. Material & methods: The kidney allograft from all of the four cases was harvested with laparoscopic living donor nephrectomy. End-to-side anastomosis was performed from the small artery to the larger main artery before side-to-side anastomosis was performed between the two arteries of equal size. After joining the renal arteries we performed end-to-side anastomosis from the renal vein and artery to the external iliac vein and artery respectively. Results: All of the four cases respond well to the allograft kidney. Three recipients had normal serum creatinine level before 5 days after transplantation. One recipient had undergone hemodialysis once on the third day after transplantation. All of the recipients have no vascular and urologic complications. Conclusion: Multiple renal arteries are no longer considered as a relative contraindication, especially with meticulous anastomosis technique. No vascular and urologic complication was observed from this technique.

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Bilateral Giant Hydronephrosis with Normal Serum Creatinine Level in an Elderly Female

Dubai Medical Journal ◽

10.1159/000499905 ◽

2019 ◽

Vol 2 (1) ◽

pp. 36-40 ◽

Cited By ~ 1

Author(s):

Rabea Ahmed Gadelkareem

Keyword(s):

Serum Creatinine ◽

Serum Creatinine Level ◽

Creatinine Level ◽

Normal Serum ◽

Elderly Female ◽

Giant Hydronephrosis ◽

Normal Serum Creatinine Level ◽

Normal Serum Creatinine

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The Significance of Serum Cystatin C Accompanied by a Normal Serum Creatinine Level in Pediatric Patients With Chronic Kidney Disease

Laboratory Medicine ◽

10.1309/lm4dviakel35wrgu ◽

2011 ◽

Vol 42 (9) ◽

pp. 549-552 ◽

Cited By ~ 2

Author(s):

Sun Young Cho ◽

Hee Joo Lee ◽

Jin-Tae Suh ◽

Won-Ho Hahn ◽

Byoung-Soo Cho ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Serum Creatinine ◽

Serum Creatinine Level ◽

Pediatric Patients ◽

Normal Serum ◽

Serum Cystatin C ◽

Serum Cystatin ◽

Normal Serum Creatinine Level ◽

Normal Serum Creatinine

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TCTAP A-186 Prognostic Significance of Normal Serum Creatinine Level and Reduced Estimated Glomerular Filtration Rate in Patients Receiving Coronary Revascularization

Journal of the American College of Cardiology ◽

10.1016/j.jacc.2014.02.593 ◽

2014 ◽

Vol 63 (12) ◽

pp. S53

Author(s):

Huang-tai Miao ◽

Wang Xiao ◽

Chang-sheng Ma ◽

Shao-ping Nie

Keyword(s):

Glomerular Filtration Rate ◽

Serum Creatinine ◽

Serum Creatinine Level ◽

Filtration Rate ◽

Estimated Glomerular Filtration Rate ◽

Coronary Revascularization ◽

Prognostic Significance ◽

Normal Serum ◽

Normal Serum Creatinine Level ◽

Normal Serum Creatinine

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Returning to dialysis after kidney allograft failure: the experience of the Italian Registry of Paediatric Chronic Dialysis

Pediatric Nephrology ◽

10.1007/s00467-021-05140-6 ◽

2021 ◽

Author(s):

Edoardo La Porta ◽

Ester Conversano ◽

Daniela Zugna ◽

Roberta Camilla ◽

Raffaella Labbadia ◽

...

Keyword(s):

Kidney Transplantation ◽

Chronic Dialysis ◽

Supplementary Information ◽

Dialysis Modality ◽

Specific Population ◽

Kidney Allograft ◽

Allograft Failure ◽

Younger Age ◽

Complicated Course ◽

Significant Mortality

Abstract Background The need for dialysis after kidney allograft failure (DAGF) is among the top five reasons for dialysis initiation, making this an important topic in clinical nephrology. However, data are scarce on dialysis choice after transplantation and clinical outcomes for DAGF in children. Methods Patients receiving chronic dialysis < 18 years were recorded from January 1991 to January 2019 by the Italian Registry of Pediatric Chronic Dialysis (IRPCD). We investigated factors influencing choice of dialysis modality, patient outcome in terms of mortality, switching dialysis modality, and kidney transplantation. Results Among 118 patients receiving DAGF, 41 (35%) were treated with peritoneal dialysis (PD), and 77 (65%) with haemodialysis (HD). Significant predictors for treatment with PD were younger age at dialysis start (OR 0.85 per year increase [95%CI 0.72–1.00]) and PD use before kidney transplantation (OR 8.20 [95%CI 1.82–37.01]). Patients entering DAGF in more recent eras (OR 0.87 per year increase [95%CI 0.80–0.94]) and with more than one dialysis modality before kidney transplantation (OR 0.56 for being treated with PD [0.12–2.59]) were more likely to be initiated on HD. As compared to patients on HD, those treated with PD exhibited increased but non-significant mortality risk (HR 2.15 [95%CI 0.54–8.6]; p = 0.28) and higher prevalence of dialysis-related complications during DAGF (p = 0.002) Conclusions Patients entering DAGF in more recent years are more likely to be initiated on HD. In this specific population of children, use of PD seems associated with a more complicated course. Graphical abstract A higher resolution version of the Graphical abstract is available as Supplementary information

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Current Pharmacological Intervention and Medical Management for Diabetic Kidney Transplant Recipients

Pharmaceutics ◽

10.3390/pharmaceutics13030413 ◽

2021 ◽

Vol 13 (3) ◽

pp. 413

Author(s):

Theerawut Klangjareonchai ◽

Natsuki Eguchi ◽

Ekamol Tantisattamo ◽

Antoney J. Ferrey ◽

Uttam Reddy ◽

...

Keyword(s):

Diabetes Mellitus ◽

Kidney Transplantation ◽

Kidney Transplant ◽

Pharmacological Intervention ◽

Diabetic Patients ◽

Transplant Recipients ◽

Kidney Transplant Recipients ◽

Kidney Allograft ◽

Post Transplant ◽

Glucose Management

Hyperglycemia after kidney transplantation is common in both diabetic and non-diabetic patients. Both pretransplant and post-transplant diabetes mellitus are associated with increased kidney allograft failure and mortality. Glucose management may be challenging for kidney transplant recipients. The pathophysiology and pattern of hyperglycemia in patients following kidney transplantation is different from those with type 2 diabetes mellitus. In patients with pre-existing and post-transplant diabetes mellitus, there is limited data on the management of hyperglycemia after kidney transplantation. The following article discusses the nomenclature and diagnosis of pre- and post-transplant diabetes mellitus, the impact of transplant-related hyperglycemia on patient and kidney allograft outcomes, risk factors and potential pathogenic mechanisms of hyperglycemia after kidney transplantation, glucose management before and after transplantation, and modalities for prevention of post-transplant diabetes mellitus.

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Ex Vivo Repair of a Renal Artery Saccular Aneurysm in a Living-Nonrelated Donor and Subsequent Successful Kidney Transplantation

Vascular and Endovascular Surgery ◽

10.1177/1538574418770104 ◽

2018 ◽

Vol 52 (6) ◽

pp. 455-458

Author(s):

Rogerio A. Muñoz-Vigna ◽

Javier E. Anaya-Ayala ◽

Juan N. Ramirez-Robles ◽

Daniel Nuño-Diaz ◽

Sandra Olivares-Cruz

Keyword(s):

Kidney Transplantation ◽

Renal Artery ◽

Ex Vivo ◽

Incidental Finding ◽

Left Kidney ◽

Renal Arteries ◽

Saccular Aneurysm ◽

Preoperative Imaging ◽

The Right ◽

Stage Renal Disease

The use of kidney grafts with aneurysmal disease involving the renal arteries for transplantation is very uncommon and relatively controversial. We herein present the case of a 52-year-old woman who volunteered to become a living-nonrelated donor; during the preoperative imaging workup, a computed tomography angiography revealed a 1.5-cm saccular aneurysm in the left kidney, while the contralateral renal artery was normal. We decided to utilize the left kidney for a 25-year-old male patient with end-stage renal disease, and following the ex vivo repair using the recipient epigastric vessels and saphenous veins, we completed the transplantation in the right pelvic fossa. The postoperative period was uneventful, and at 8 months from the surgery, the graft remains functional. The surgical repair of renal artery aneurysms followed by immediate kidney transplantation is a safe technique and an effective replacement therapy for recipients. The incidental finding of isolated aneurysmal disease in renal arteries should not exclude graft potential availability for transplantation following repair.

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