title: [Transplantectomy today: indications and complications].
abstract: 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.
authors.affiliation: Servicio de Urología, Ciudad Sanitaria de Bellvitge, Hospital Prínceps d'Espanya, L'Hospitalet de Llobregat, Barcelona.
authors.forename: L
authors.initials: L
authors.lastname: Riera Canals
authors.forename: E
authors.initials: E
authors.lastname: Franco Miranda
authors.forename: M A
authors.initials: MA
authors.lastname: López Costea
authors.forename: F
authors.initials: F
authors.lastname: Aguilo Lucia
authors.forename: J M
authors.initials: JM
authors.lastname: Caballero Gine
authors.forename: J
authors.initials: J
authors.lastname: Serra Caner
authors.forename: A
authors.initials: A
authors.lastname: Castelao
authors.forename: N
authors.initials: N
authors.lastname: Serrallach Mila
mesh_terms: D006801:Humans; D016030:Kidney Transplantation; D009392:Nephrectomy; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D017211:Treatment Failure
vernacular_title: La transplantectomía hoy: indicaciones y complicaciones.