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Year : 2004  |  Volume : 20  |  Issue : 2  |  Page : 130-133

Multiple vessel renal transplant - army hospital (research and referral) experience

Department of Urology, Army Hospital (Research and Referral), Delhi Cantt, India

Correspondence Address:
Rajesh Khanna
Department of Urology, Army Hospital (Research and Referral), Delhi Cantt - 110 010
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Source of Support: None, Conflict of Interest: None

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Objectives: Over the past three decades graft and pa負ient outcomes in kidney transplantation have improved dramatically. The aim of our study was to measure the prevalence of multiple artery renal transplants, and to analyze the rates of vascular and urologic complications in these recipients. Methods: Between July 1991 andAugust 2003 the trans計lantation team at our hospital performed 340 kidney transplantations. Twenty-nine patients (8.53%) who un苓erwent multiple-artery anastomosis were compared with 311 patients (91.47%) with single-artery anastomosis. Of the 29 grafts with multiple arteries, 23 (79.3%) had dou苑le arteries and 5 (17.2%) had 3 arteries. The solitary patient with quadruple arteries (3.5%) underwent a suc苞essful double pyjama anastomosis. Postoperatively all patients were placed on immunosuppression and graft outcomes assessed. Results: Multiple vessel transplantation was attended by minimal postoperative complications. There was no significant different in graft function, assessed by the in苞idence of acute tubular necrosis (ATN) and post-trans計lantation hypertension. The patient survival rates were comparable and none of the patients who received multi計le renal artery grafts developed vascular or urologic com計lications. Conclusions: Transplantation of kidneys with multiple renal arteries is generally avoided. However, shortage of organs continues to be critical. Our results confirm that multiple artery grafts can be successfully transplanted with results similar to single vessel kidney grafts.

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