Volume : VII, Issue : V, May - 2018
Vascular variations and complications in Renal transplantation-Single centre study
Jayachander K, Thulasikumar G, Periyasamy P, Balaraman V
Abstract :
Objective : To study the vascular variations and complications in renal transplantation . Methods: It’s a retrospective study of the patients who underwent consecutive allogenic renal transplantation at Government Kilpauk Medical College hospital,Chennai ,India ,during the period 2015 to 2017.Totally 26 patients of Male 18 (69%) and Female 8 (31%) recipients were enrolled in this study.The age group of the recipients were between 19years to 51years.Live related donor were 15 (57.69%)and ain dead donor were11 (42.3% .Results: Double renal arteries:In 5 donar kidneys (19.23%) lower pole 2, hilar 2 and upper pole 1. Additional renal arteries anastomosedseparately to inferior epigastric artery (2), pelvic anch of hypogastric artery(1), external iliac artery (2) and the upper pole artery which is very small diameter (1mm) was ligated without any untoward effect of graft function.Early anching of main renal artery: 2 donar kidneys (7.69%) out of which in one case faced difficulty in harvesting.Atherosclerotic plaque of the recipient internal iliac artery: 1 case ,managed by endarterectomy.Vascular complications : Partial thrombosis of renal artery anastomosis 1( 3.8%) managed by heparin therapy and responded well.Renal vein thrombosis 1(3.84%) with impending graft rupture and hypotension,managed by graft nephrectomy. Pseudoaneurysm of transplant renal arterywith pelvichematoma 1( 3.84%) managed by excision of pseudoaneurysm and subcapsular nephrectomy.We observed that all the vascular complications occurred in cadaver donar renal transplantation.Conclusion: Vascular anatomical variations , multiple renal arteries should always be anticipated in renal transplantation and to be reimplanted at any cost and the early anching of renal artery is not a limitation .Transplant renovascular complications should be diagnosed at the earliest to salvage the graft kidney and to save patient life.
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DOI : 10.36106/ijsr
Cite This Article:
Jayachander K, Thulasikumar G, Periyasamy P, Balaraman V, Vascular variations and complications in Renal transplantation-Single centre study, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-5 | May-2018
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Jayachander K, Thulasikumar G, Periyasamy P, Balaraman V, Vascular variations and complications in Renal transplantation-Single centre study, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-5 | May-2018
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