Comparative Study of Short-Term Outcome of Live Related Renal Transplantation From Grafts Having Single vs Multiple Arteries

Objective: To compare the outcome of live related renal transplantation between the Grafts having single vs multiple arteries. Materials and Methods: The data of 94 renal transplants with single and multiple arteries performed between January 2011 and December 2012 were collected from Bangabandhu Sheikh Mujib Medical University and National Kidney Foundation. Sixty three renal transplants with single renal artery were compared to 31 transplants with multiple arteries. The aspects analyzed were number of arteries of the graft, donor type, ischemia time, time spent for arterial anastomosis, time spent for total vascular anastomosis and time for whole operation, vascular reconstruction technique, the occurrence of surgical complications, the incidence of delayed graft function, graft function 6 month after transplantation, graft loss and mortality. Results: The incidence of surgical complications in grafts with single artery and multiple renal artery was respectively: vascular 6.4% and 3.2%; urological 13.2% and 9.6%, other surgical complications was 3,2% and 3.2%, and the difference were not significant among the two groups. Symptomatic lymphocele was 3.2% observed in single artery group but the incidence of lymphoceles was 6.4% in grafts with multiple arteries (p < 0.005). The incidence of delayed graft function in grafts with a single artery and multiple arteries was respectively 6.4% and 6.4% (p =<0.005). Mean serum creatinine at the end of 6th months of postoperative period was 1.33mg/dl and 1.67 mg/dl in grafts with single and multiple arteries respectively (p<0.005). Cold ischemia time, preparation time duration of in vivo arterial anastomosis and the total length of operation time was significantly longer in the multiple artery group(p<0.005). Six months grafts survival in single and multiple artery was 88.9% and 87.1% respectively. Conclusions: Kidney transplantation using grafts having single and multiple arteries present similar indeces of surgical complications and short-term outcome. Though, lymphoceles was more frequent among grafts with multiple arteries but the difference were not significant among the two groups. In other words. Live related renal transplantation from grafts having multiple arteries is safe and has a good outcome. Bangladesh Journal of Urology, Vol. 16, No. 1, Jan 2014 p.9-16

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Short-term outcome of renal transplantation treated with pre-transplant peritoneal dialysis

Dialysis & Transplantation ◽

10.1002/dat.20419 ◽

2010 ◽

Vol 39 (4) ◽

pp. 148-150 ◽

Cited By ~ 1

Author(s):

Hidehisa Kitada ◽

Atsushi Doi ◽

Takehiro Nishiki ◽

Yoshifumi Miura ◽

Kei Kurihara ◽

...

Keyword(s):

Peritoneal Dialysis ◽

Renal Transplantation ◽

Short Term ◽

Term Outcome ◽

Short Term Outcome

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ROLE OF DILTIAZEM IN SHORT-TERM OUTCOME OF LIVE RELATED RENAL TRANSPLANT HYPERTENSIVE RECIPIENTS WITH NON-SURGICAL DELAYED GRAFT FUNCTION

Transplantation Journal ◽

10.1097/01.tp.0000700272.47403.27 ◽

2020 ◽

Vol 104 (S3) ◽

pp. S344-S344

Author(s):

Manjuri Sharma ◽

Shahzad Alam ◽

Vivek Kute ◽

Mastakeem Ahmed Mazumder ◽

Hari Shankar Meshram

Keyword(s):

Renal Transplant ◽

Graft Function ◽

Delayed Graft Function ◽

Short Term ◽

Term Outcome ◽

Short Term Outcome

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Impact of hepatitis C virus infection on short-term outcome in renal transplantation: a single-center study

Transplantation Proceedings ◽

10.1016/j.transproceed.2003.09.014 ◽

2003 ◽

Vol 35 (7) ◽

pp. 2699-2700 ◽

Cited By ~ 4

Author(s):

S Sabet ◽

M Hakemi ◽

I Nadjafi ◽

M.R Ganji ◽

H Argani ◽

...

Keyword(s):

Hepatitis C Virus ◽

Renal Transplantation ◽

Hepatitis C ◽

Hepatitis C Virus Infection ◽

Single Center ◽

Short Term ◽

Term Outcome ◽

Short Term Outcome ◽

Single Center Study ◽

Center Study

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Delayed graft function in kidney transplant recipients: risk factors and short-term outcome

Transplantation Proceedings ◽

10.1016/s0041-1345(01)02796-8 ◽

2002 ◽

Vol 34 (1) ◽

pp. 352-354 ◽

Cited By ~ 3

Author(s):

R.A Iglesias-Márquez ◽

E.A Santiago-Delpı́n ◽

E Zayas ◽

Z González-Caraballo ◽

L Morales-Otero

Keyword(s):

Risk Factors ◽

Kidney Transplant ◽

Graft Function ◽

Delayed Graft Function ◽

Transplant Recipients ◽

Kidney Transplant Recipients ◽

Short Term ◽

Term Outcome ◽

Short Term Outcome

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Donor Specific Anti HLA Sensitization is Associated with Poor Short Term Outcome in ABO-Incompatible Renal Transplants

Transplantation Journal ◽

10.1097/01.tp.0000520367.30581.cd ◽

2017 ◽

Vol 101 ◽

pp. S45

Author(s):

Raj Sharma ◽

Sonia Mehrotra ◽

Narayan Prasad ◽

Anupma Kaul ◽

Amit Gupta ◽

...

Keyword(s):

Renal Transplants ◽

Short Term ◽

Term Outcome ◽

Short Term Outcome

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Donor specific anti HLA sensitization is associated with inferior short term outcome in ABO- incompatible renal transplantation

Transplantation Reports ◽

10.1016/j.tpr.2020.100059 ◽

2020 ◽

Vol 5 (3) ◽

pp. 100059

Author(s):

Sonia Mehrotra ◽

Raj Kumar Sharma ◽

Kavita Vishwakarma ◽

Narayan Prasad ◽

Amit Gupta ◽

...

Keyword(s):

Renal Transplantation ◽

Short Term ◽

Term Outcome ◽

Short Term Outcome

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Influence of Multiple Donor Renal Arteries on the Outcome and Graft Survival in Deceased Donor Kidney Transplantation

Journal of Clinical Medicine ◽

10.3390/jcm10194395 ◽

2021 ◽

Vol 10 (19) ◽

pp. 4395

Author(s):

Uwe Scheuermann ◽

Sebastian Rademacher ◽

Tristan Wagner ◽

Andri Lederer ◽

Hans-Michael Hau ◽

...

Keyword(s):

Kidney Transplantation ◽

Renal Artery ◽

Graft Survival ◽

Graft Function ◽

Deceased Donor ◽

Renal Arteries ◽

Term Outcome ◽

Long Term Outcome ◽

Arterial Anastomosis

Aim: Complex arterial reconstruction in kidney transplantation (KT) using kidneys from deceased donors (DD) warrants additional study since little is known about the effects on the mid- and long-term outcome and graft survival. Methods: A total of 451 patients receiving deceased donor KT in our department between 1993 and 2017 were included in our study. Patients were divided into three groups according to the number of arteries and anastomosis: (A) 1 renal artery, 1 arterial anastomosis (N = 369); (B) >1 renal artery, 1 arterial anastomosis (N = 47); and (C) >1 renal artery, >1 arterial anastomosis (N = 35). Furthermore, the influence of localization of the arterial anastomosis (common iliac artery (CIA), versus non-CIA) was analyzed. Clinicopathological characteristics, outcome, and graft and patient survival of all groups were compared retrospectively. Results: With growing vascular complexity, the time of warm ischemia increased significantly (groups A, B, and C: 40 ± 19 min, 45 ± 19 min, and 50 ± 17 min, respectively; p = 0.006). Furthermore, the duration of operation was prolonged, although this did not reach significance (groups A, B, and C: 175 ± 98 min, 180 ± 35 min, and 210 ± 43 min, respectively; p = 0.352). There were no significant differences regarding surgical complications, post-transplant kidney function (delayed graft function, initial non-function, episodes of acute rejection), or long-term graft survival. Regarding the localization of the arterial anastomosis, non-CIA was an independent prognostic factor for deep vein thrombosis in multivariate analysis (CIA versus non-CIA: OR 11.551; 95% CI, 1.218–109.554; p = 0.033). Conclusion: Multiple-donor renal arteries should not be considered a contraindication to deceased KT, as morbidity rates and long-term outcomes seem to be comparable with grafts with single arteries and less complex anastomoses.

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