Indian Journal of Urology
RESEARCH ARTICLE
Year
: 2004  |  Volume : 20  |  Issue : 2  |  Page : 130--133

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


Rajesh Khanna, R Sood, P Madhusoodanan, T Sinha, AS Sandhu, SK Gupta, AA Pradhan, A Kumar, GS Sethi, A Srivastava 
 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
India

Objectives: Over the past three decades graft and pa­tient 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 trans­plantation team at our hospital performed 340 kidney transplantations. Twenty-nine patients (8.53%) who un­derwent 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 dou­ble arteries and 5 (17.2%) had 3 arteries. The solitary patient with quadruple arteries (3.5%) underwent a suc­cessful 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 in­cidence of acute tubular necrosis (ATN) and post-trans­plantation hypertension. The patient survival rates were comparable and none of the patients who received multi­ple renal artery grafts developed vascular or urologic com­plications. 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.


How to cite this article:
Khanna R, Sood R, Madhusoodanan P, Sinha T, Sandhu A S, Gupta S K, Pradhan A A, Kumar A, Sethi G S, Srivastava A. Multiple vessel renal transplant - army hospital (research and referral) experience.Indian J Urol 2004;20:130-133


How to cite this URL:
Khanna R, Sood R, Madhusoodanan P, Sinha T, Sandhu A S, Gupta S K, Pradhan A A, Kumar A, Sethi G S, Srivastava A. Multiple vessel renal transplant - army hospital (research and referral) experience. Indian J Urol [serial online] 2004 [cited 2021 Oct 23 ];20:130-133
Available from: https://www.indianjurol.com/article.asp?issn=0970-1591;year=2004;volume=20;issue=2;spage=130;epage=133;aulast=Khanna;type=0