The new technique of using the epigastric arteries in renal transplantation with multiple renal arteries
Joint Authors
Babolhavaej, Hooshang
Husayni, Shahrayar Amir
Bahr, Habib Musawi
Ghulyaf, Mahmud
Amirzargar, Muhammad Ali
Amirzargar, Nasibeh
Dadras, Farahnaz
Khoshjoo, Farhad
Yavangi, Mahnaz
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 24, Issue 2 (30 Apr. 2013), pp.247-253, 7 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2013-04-30
Country of Publication
Saudi Arabia
No. of Pages
7
Main Subjects
Topics
Abstract EN
The most common anatomic variant seen in the donor kidneys for renal transplantation is multiple renal arteries (MRA), which can cause an increased risk of complications.
We describe the long-term outcomes of 16 years of experience in 76 kidney transplantations with MRAs.
In a new reconstruction technique, we remove arterial clamps after anastomosing the donor to the recipient's main renal vessels, which cause backflow from accessory arteries to prevent thrombosis.
By this technique, we reduce the ischemic times as well as the operating times.
Both in live or cadaver donor kidneys, lower polar arteries were anastomosed to the inferior epigastric artery and upper polar arteries were anastomosed to the superior epigastric arteries.
Injection of Papaverine and ablation of sympathic nerves of these arteries dilate and prevent them from post-operative spasm.
Follow-up DTPA renal scan in all patients showed good perfusion and function of the transplanted kidney, except two cases of polar arterial thrombosis.
Mean creatinine levels during at least two years of follow-up remained acceptable.
Patient and graft survival were excellent.
No cases of ATN, hypertension, rejection and urologic complications were found.
In conclusion, this technique can be safely and successfully utilized for renal transplantation with kidneys having MRAs, and may be associated with a lower complication rate and better graft function compared with the existing techniques.
American Psychological Association (APA)
Amirzargar, Muhammad Ali& Babolhavaej, Hooshang& Dadras, Farahnaz& Khoshjoo, Farhad& Yavangi, Mahnaz& Amirzargar, Nasibeh…[et al.]. 2013. The new technique of using the epigastric arteries in renal transplantation with multiple renal arteries. Saudi Journal of Kidney Diseases and Transplantation،Vol. 24, no. 2, pp.247-253.
https://search.emarefa.net/detail/BIM-328890
Modern Language Association (MLA)
Amirzargar, Muhammad Ali…[et al.]. The new technique of using the epigastric arteries in renal transplantation with multiple renal arteries. Saudi Journal of Kidney Diseases and Transplantation Vol. 24, no. 2 (2013), pp.247-253.
https://search.emarefa.net/detail/BIM-328890
American Medical Association (AMA)
Amirzargar, Muhammad Ali& Babolhavaej, Hooshang& Dadras, Farahnaz& Khoshjoo, Farhad& Yavangi, Mahnaz& Amirzargar, Nasibeh…[et al.]. The new technique of using the epigastric arteries in renal transplantation with multiple renal arteries. Saudi Journal of Kidney Diseases and Transplantation. 2013. Vol. 24, no. 2, pp.247-253.
https://search.emarefa.net/detail/BIM-328890
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 252-253
Record ID
BIM-328890