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Home > Journals > Italian Journal of Vascular and Endovascular Surgery > Past Issues > Giornale Italiano di Chirurgia Vascolare 2000 June;7(2) > Giornale Italiano di Chirurgia Vascolare 2000 June;7(2):125-33



A Journal on Vascular and Endovascular Surgery

Official Journal of the Italian Society of Vascular and Endovascular Surgery
Indexed/Abstracted in: EMBASE, Scopus

Frequency: Quarterly

ISSN 1824-4777

Online ISSN 1827-1847


Giornale Italiano di Chirurgia Vascolare 2000 June;7(2):125-33


Possibilities of revascularisation in kidney trans-plantation

Regina G., Ciavarella M., Grimaldi G., Impedovo G., Tempesta A. *, Carrieri G. *, Selvaggi F. P. *

From the Institute of Clinical Surgery II Chair of Vascular Surgery
* Department of Emergency Surgery and Organ Transplant Chair of Urology University of Bari, Italy

The use of kid­neys ­with ­more ­than one ­artery or ­with an inad­e­quate vas­cu­lar ­system has ­become nec­es­sary ­over ­past ­years due to the ­increased ­demand for trans­plan­ta­tion and the few dona­tions ­made ­from cadav­ers. Various tech­niques ­have ­been ­used, ­also in ­view of the ­progress avail­able by vas­cu­lar sur­gery in ­recent ­years. In ­this ­study the ­authors sum­mar­ise ­their expe­ri­ence of 260 kid­ney trans­plan­ta­tions (175 ­from cadav­ers and 85 ­from liv­ing ­donors) per­formed ­between October 1973 and May 1999 at the Policlinico University Hospital, Department of Urology, University of Bari. This ­long peri­od pro­vid­ed a use­ful ­means of eval­u­at­ing the dif­fer­ent sur­gi­cal tech­niques ­used, the dif­fer­ent ­forms of immu­no­ther­a­py, the out­comes and the com­pli­ca­tions. Kidney revas­cu­lar­isa­tion was ­achieved in 30 cas­es ­using an end-to-end anas­tom­o­sis ­between the ­renal and hypo­gas­tric arter­ies; in 209 cas­es an end-to-­side anas­tom­o­sis was pre­pared ­with the exter­nal ­iliac ­artery ­using a ­small ­patch on the aor­tic ­wall ­where pos­sible; in 20 ­patients, the anas­tom­o­sis was creat­ed direct­ly end-to-­side ­with the com­mon ­iliac ­artery and the ­host aor­ta. In one ­case an anas­tom­o­sis was pre­pared ­using the splen­ic ­artery. Acute com­pli­ca­tions includ­ed ­three throm­bos­es of the ­renal ­artery and two mycot­ic aneu­rysms. The chron­ic com­pli­ca­tions ­observed ­were an arter­i­ov­e­nous fis­tu­la and sten­o­sis of the ­renal ­artery. Numerous pos­sibil­ities ­have ­been ­described in the lit­er­a­ture for the recon­struc­tion of the arte­ri­al and ­venous ­system. For the ­sake of sim­plic­ity, it was cho­sen to illus­trate ­these tech­niques ­using sim­ple dia­grams ­that sur­geons who are pre­par­ing to car­ry out ­this ­type of oper­a­tion ­will ­find ­easy to under­stand and remem­ber.

language: English, Italian


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