[Transplantectomy today: indications and complications].
Analysis of the indications for transplantectomy and its complications over a 12-year period. Over a total of 159 failure grafts, we performed 53 transplantectomies (33.3%). The percentage of complications was 16.9%. Three patients died (5.6%) during the more or less immediate post-operative period. In our experience, consistent and prolonged maintenance of immunosuppression should avoid the need for transplantectomy in a high percentage of grafts. Only 15 transplantectomies were made on 104 failure grafts after 6 months (14.4%). Our short but successful experience with embolization of 2 rejected grafts confirms the validity of this conservative alternative versus conventional surgical transplantectomy in selected cases.
Riera Canals
L
L
Servicio de Urología, Ciudad Sanitaria de Bellvitge, Hospital Prínceps d'Espanya, L'Hospitalet de Llobregat, Barcelona.
Franco Miranda
E
E
López Costea
M A
MA
Aguilo Lucia
F
F
Caballero Gine
J M
JM
Serra Caner
J
J
Castelao
A
A
Serrallach Mila
N
N
D006801:Humans; D016030:Kidney Transplantation; D009392:Nephrectomy; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D017211:Treatment Failure
La transplantectomía hoy: indicaciones y complicaciones.