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Impact of Arterial Reconstruction With Recipient's Own Internal Iliac Artery for Multiple Graft Arteries on Living Donor Kidney Transplantation: Strobe Study

The aim of this study is to investigate the usefulness of arterial reconstruction using the recipient's own internal iliac artery for multiple kidney graft arteries. The safety and efficacy of various arterial reconstruction methods have been demonstrated. Although some reports have documented...

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Autores principales: Hiramitsu, Takahisa, Futamura, Kenta, Okada, Manabu, Yamamoto, Takayuki, Tsujita, Makoto, Goto, Norihiko, Narumi, Shunji, Watarai, Yoshihiko, Kobayashi, Takaaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4985392/
https://www.ncbi.nlm.nih.gov/pubmed/26512578
http://dx.doi.org/10.1097/MD.0000000000001811
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author Hiramitsu, Takahisa
Futamura, Kenta
Okada, Manabu
Yamamoto, Takayuki
Tsujita, Makoto
Goto, Norihiko
Narumi, Shunji
Watarai, Yoshihiko
Kobayashi, Takaaki
author_facet Hiramitsu, Takahisa
Futamura, Kenta
Okada, Manabu
Yamamoto, Takayuki
Tsujita, Makoto
Goto, Norihiko
Narumi, Shunji
Watarai, Yoshihiko
Kobayashi, Takaaki
author_sort Hiramitsu, Takahisa
collection PubMed
description The aim of this study is to investigate the usefulness of arterial reconstruction using the recipient's own internal iliac artery for multiple kidney graft arteries. The safety and efficacy of various arterial reconstruction methods have been demonstrated. Although some reports have documented arterial reconstruction with the recipient's own internal iliac artery for multiple kidney graft arteries using the interposition method, usefulness of this technique has not yet been investigated compared with other arterial reconstruction methods. Between January 2008 and April 2014, 532 living donor kidney transplants in adult recipients were performed at 1 center. Of these, 389 kidney grafts had a single artery and did not need arterial reconstruction (nonarterial reconstruction group). Among the bench surgery patients, 19 kidney grafts for multiple arteries were performed using the interposition method with the recipient's own internal iliac artery (interposition group). Seventy-nine kidney grafts were performed using conjoined reconstruction (conjoined group) and 15 kidney grafts were performed using end-to-side reconstruction (end-to-side group). Total ischemic time (the period between arterial clamp and blood reperfusion), time to initial urination, perioperative and postoperative estimated glomerular filtration rate (eGFR), and complication rates between the interposition group and other 3 groups were retrospectively investigated. This study was based on the STROBE compliant. Warm ischemic time (the period between arterial clamp and beginning of the cold perfusion) of interposition group was significantly longer than that of nonarterial reconstruction group. Total ischemic time of the interposition group was significantly longer than those of other 3 groups. But time to initial urination, perioperative and postoperative eGFR, and complications were similar to other 3 groups. The interposition method was shown to be a useful standard method for multiple kidney graft arteries of living donor kidney transplantation in carefully selected recipients without calcification of the iliac arteries.
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spelling pubmed-49853922016-08-26 Impact of Arterial Reconstruction With Recipient's Own Internal Iliac Artery for Multiple Graft Arteries on Living Donor Kidney Transplantation: Strobe Study Hiramitsu, Takahisa Futamura, Kenta Okada, Manabu Yamamoto, Takayuki Tsujita, Makoto Goto, Norihiko Narumi, Shunji Watarai, Yoshihiko Kobayashi, Takaaki Medicine (Baltimore) 7100 The aim of this study is to investigate the usefulness of arterial reconstruction using the recipient's own internal iliac artery for multiple kidney graft arteries. The safety and efficacy of various arterial reconstruction methods have been demonstrated. Although some reports have documented arterial reconstruction with the recipient's own internal iliac artery for multiple kidney graft arteries using the interposition method, usefulness of this technique has not yet been investigated compared with other arterial reconstruction methods. Between January 2008 and April 2014, 532 living donor kidney transplants in adult recipients were performed at 1 center. Of these, 389 kidney grafts had a single artery and did not need arterial reconstruction (nonarterial reconstruction group). Among the bench surgery patients, 19 kidney grafts for multiple arteries were performed using the interposition method with the recipient's own internal iliac artery (interposition group). Seventy-nine kidney grafts were performed using conjoined reconstruction (conjoined group) and 15 kidney grafts were performed using end-to-side reconstruction (end-to-side group). Total ischemic time (the period between arterial clamp and blood reperfusion), time to initial urination, perioperative and postoperative estimated glomerular filtration rate (eGFR), and complication rates between the interposition group and other 3 groups were retrospectively investigated. This study was based on the STROBE compliant. Warm ischemic time (the period between arterial clamp and beginning of the cold perfusion) of interposition group was significantly longer than that of nonarterial reconstruction group. Total ischemic time of the interposition group was significantly longer than those of other 3 groups. But time to initial urination, perioperative and postoperative eGFR, and complications were similar to other 3 groups. The interposition method was shown to be a useful standard method for multiple kidney graft arteries of living donor kidney transplantation in carefully selected recipients without calcification of the iliac arteries. Wolters Kluwer Health 2015-10-30 /pmc/articles/PMC4985392/ /pubmed/26512578 http://dx.doi.org/10.1097/MD.0000000000001811 Text en Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 7100
Hiramitsu, Takahisa
Futamura, Kenta
Okada, Manabu
Yamamoto, Takayuki
Tsujita, Makoto
Goto, Norihiko
Narumi, Shunji
Watarai, Yoshihiko
Kobayashi, Takaaki
Impact of Arterial Reconstruction With Recipient's Own Internal Iliac Artery for Multiple Graft Arteries on Living Donor Kidney Transplantation: Strobe Study
title Impact of Arterial Reconstruction With Recipient's Own Internal Iliac Artery for Multiple Graft Arteries on Living Donor Kidney Transplantation: Strobe Study
title_full Impact of Arterial Reconstruction With Recipient's Own Internal Iliac Artery for Multiple Graft Arteries on Living Donor Kidney Transplantation: Strobe Study
title_fullStr Impact of Arterial Reconstruction With Recipient's Own Internal Iliac Artery for Multiple Graft Arteries on Living Donor Kidney Transplantation: Strobe Study
title_full_unstemmed Impact of Arterial Reconstruction With Recipient's Own Internal Iliac Artery for Multiple Graft Arteries on Living Donor Kidney Transplantation: Strobe Study
title_short Impact of Arterial Reconstruction With Recipient's Own Internal Iliac Artery for Multiple Graft Arteries on Living Donor Kidney Transplantation: Strobe Study
title_sort impact of arterial reconstruction with recipient's own internal iliac artery for multiple graft arteries on living donor kidney transplantation: strobe study
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4985392/
https://www.ncbi.nlm.nih.gov/pubmed/26512578
http://dx.doi.org/10.1097/MD.0000000000001811
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