1. COMPLICATIONS OF END-TO- SIDE RENAL ARTERY ANASTOMOSIS IN RENAL TRANSPLANT INFECTION.
- Author
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Wilson Jr., Charles Harrison, Gregory, Roger Thorpe, Wheeler, Jock Rodgers, Hurwitz, Lewis Richard, Vansant, John Herndon, and Thomas, Francis Thornton
- Subjects
RENAL artery ,ARTERIOVENOUS anastomosis ,KIDNEY transplantation ,KIDNEY blood-vessels ,ILIAC artery ,PATIENTS - Abstract
Although end-to-end renal artery anastomosis for kidney transplantation is preferred, anatomic and pathologic variations may necessitate an end-to-side anastomosis to the recipient's iliac artery. This was required in 31 of 100 consecutive kidney transplants. Delayed rupture of the end-to-side anastomosis occurred in 3 patients in whom removal of an infected kidney transplant was necessary. All 3 patients died and 2 required amputation. These cases suggest that management of an infected renal transplant should include removal of the donor kidney, excision of the end-to-side anastomosis, and extra-anatomic arterial reconstruction to avoid delayed anastomotic rupture and to preserve limb viability. [ABSTRACT FROM AUTHOR]
- Published
- 1979
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