Incidence of vascular complications in kidney transplantation: is there any interference with the nature of the perfusion solution?
Two non-randomized groups of 100 kidney transplants each were compared in relation to the flush-out solution used. The two groups were similar with the exceptions of the number of multiple artery kidneys and the proportion of kidneys procured in our center. The rate of vascular complications such as arterial venous thrombosis and renal artery stenosis was higher in the Eurocollins (19) group than in the UW group (4) p < 0.01, even if the multiple artery kidneys are excluded. These results need to be confirmed by a randomized study but it is clear that the use of the UW solution leads to a better arterial flow with fewer vascular complications.
Benoit
G
G
Department of Urology, Hôpital de Bicêtre, Université Paris-Sud, France.
Jaber
N
N
Moukarzel
M
M
Douguet
D
D
Bensadoun
H
H
Blanchet
P
P
Jardin
A
A
Charpentier
B
B
D000241:Adenosine / Q000009:adverse effects; D000328:Adult; D000493:Allopurinol / Q000009:adverse effects; D005978:Glutathione / Q000009:adverse effects; D006801:Humans; D006982:Hypertonic Solutions / Q000009:adverse effects*; D007328:Insulin / Q000009:adverse effects; D016030:Kidney Transplantation / Q000009:adverse effects*; D009926:Organ Preservation; D019188:Organ Preservation Solutions; D011887:Raffinose / Q000009:adverse effects; D012078:Renal Artery Obstruction / Q000209:etiology*; D012082:Renal Veins; D013927:Thrombosis / Q000209:etiology*
C037096:Euro-Collins' solution; D006982:Hypertonic Solutions; D007328:Insulin; D019188:Organ Preservation Solutions; C055206:University of Wisconsin-lactobionate solution; D000493:Allopurinol; D005978:Glutathione; D000241:Adenosine; D011887:Raffinose