1. Complex Bench Surgery Does Not Increase the Risk of Vascular Complications after Pediatric Kidney Transplantation.
- Author
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Ghidini F, Fascetti Leon F, De Corti F, Meneghesso D, Longo G, Sgrò A, Michelon S, Metrangolo S, Meneghini L, Castagnetti M, Benetti E, Gamba P, and Dall'Igna P
- Subjects
- Child, Humans, Veins, Graft Survival, Retrospective Studies, Kidney, Kidney Transplantation adverse effects, Thrombosis etiology, Venous Thrombosis
- Abstract
Introduction: Vascular complications are severe complications of pediatric kidney transplantation (KT). We aimed to investigate whether a complex bench surgery (BS) affects the outcomes., Methods: All pediatric KT performed at the University Hospital of Padua from 2015 to 2019 were analyzed, comparing those in which a standard BS was possible to those that necessitated a complex BS. The rates of vascular complications, patients' outcome, and graft survival were compared in the two groups., Results: Eighty KTs were performed in 78 patients with a median age of 11 years (interquartile range [IQR] 4.3-14) and a median body weight of 24 kg (IQR 13-37). Thirty-nine donor kidneys (49%) needed a complex BS due to anomalies of renal veins in 12 (31%) and renal arteries in 16 (41%). The remaining 11 grafts (28%) underwent an elongation of the vein. There was no difference in the rate of primary graft non function ( p = 0.97), delayed graft function ( p = 0.72), and overall survival ( p = 0.27). The rates of vascular complications, bleedings, and venous graft thrombosis were similar ( p = 0.51, p = 0.59, p = 0.78, respectively). No arterial thrombosis or stenosis was reported., Conclusion: Complex BS did not compromise survival of the graft and did not put the allograft at risk of vascular complications, such as bleedings or thrombosis., Competing Interests: None declared., (Thieme. All rights reserved.)
- Published
- 2023
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