Frequent salvage of ruptured renal allografts: a large single center experience.
Our experience with 22 renal allograft ruptures (AR) in 4418 transplant recipients over a 20-yr period was reviewed. Fourteen of the 22 ruptured allografts were repaired and eight underwent nephrectomy. All of the repaired AR functioned for 1 yr and 64% functioned at 5 yr. Human leukocyte antigens (HLA) matched and living donor cohorts were predictive factors of salvage. In this large group, renal AR was frequently rescued by primary repair with excellent long-term outcome.
Finley
David S
DS
University of California Irvine, College of Medicine, Irvine, CA 94143-0780, USA.
Roberts
John P
JP
D000293:Adolescent; D000328:Adult; D002648:Child; D003404:Creatinine / Q000097:blood; D005260:Female; D006084:Graft Rejection / Q000453:epidemiology* / Q000517:prevention & control*; D006680:HLA Antigens / Q000032:analysis*; D006648:Histocompatibility; D006801:Humans; D015994:Incidence; D007668:Kidney / Q000098:blood supply / Q000000981:diagnostic imaging; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D011183:Postoperative Complications / Q000453:epidemiology / Q000601:surgery; D012189:Retrospective Studies; D012421:Rupture; D016019:Survival Analysis; D013997:Time Factors; D014019:Tissue Donors; D014184:Transplantation, Homologous; D016896:Treatment Outcome; D014463:Ultrasonography
D006680:HLA Antigens; D003404:Creatinine