title: Renal transplantation for the hemodialysis patient with axillofemoral bypass.
abstract: BACKGROUND
  Axillofemoral bypass grafts are used in the treatment of aortoiliac occlusive disease caused by atherosclerosis. There have been no previous reports on renal transplantation used as treatment for chronic renal failure after an axillofemoral bypass graft being placed because of atypical coarctation of the aorta.
  
  
  METHODS
  The patient was a 47-year-old woman who had received regular hemodialysis for 15 years. Axillofemoral bypass surgery was performed because of atypical coarctation of the aorta in October 1999. Three years after surgery, she underwent renal transplantation.
  
  
  RESULTS
  Renal transplantation was successful, and helical computed tomography demonstrated patent graft bypass and good nephrographic effects of the renal artery.
  
  
  CONCLUSIONS
  Even though dialysis patients with atypical coarctation of the aorta are treated with an axillofemoral bypass, it is possible for them to undergo regular renal transplantation, if part of the external or internal iliac artery is intact.
authors.affiliation: Department of Urology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan.
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Nakatani
authors.forename: Junji
authors.initials: J
authors.lastname: Uchida
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Iwai
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Kuratsukuri
authors.forename: Kentaro
authors.initials: K
authors.lastname: Matsumura
authors.forename: Yuki
authors.initials: Y
authors.lastname: Takahara
authors.forename: Toshihide
authors.initials: T
authors.lastname: Naganuma
authors.forename: Kazunobu
authors.initials: K
authors.lastname: Sugimura
mesh_terms: D001017:Aortic Coarctation / Q000601:surgery; D001366:Axillary Artery / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology* / Q000628:therapy; D016030:Kidney Transplantation; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D006435:Renal Dialysis; D014656:Vascular Surgical Procedures / Q000009:adverse effects*
chemical_list: D011138:Polytetrafluoroethylene