[Renal transplantation in patients with a vascular aortobifemoral prosthesis].
BACKGROUND
Nowadays, it is much more common in end stage renal disease patients with vascular grafts, to be kidney transplant candidates. We expose our experience in five cases.


METHODS
Of all 1,483 kidneys transplanted in our center, 5 recipients had a previous aortobifemoral bypass (2 due to abdominal aortic aneurysm, and 3 due to vascular occlusive disease). We review the clinical features, outcome and complications in these patients.


RESULTS
The vascular surgery was done 6 months to 16 years prior to transplantation. The renal transplant was done in iliac fossa with arterial anastomosis to the vascular graft. Surgical complications were: 1 renal artery thrombosis that was treated with thrombectomy, and 1 stricture at the ureterovesical junction. 2 patients dead at 6 months and 7 years with a functioning allograft and 3 patients live with functional allograft at 7 months, 3 years and 7 years.


CONCLUSIONS
Kidney transplantation may be successful in selected patients with aortobifemoral bypass.
Servicio de Urología, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria. car1677@hotmail.com
Aguilera C
AC
Tubet
Gutiérrez J L
GJ
Baños
Portillo J A
PJ
Martin
Valle J I
VJ
Del Schaan
Correas M A
CM
Gómez
Roca A
RA
Edreira
D000328:Adult; D001012:Aorta, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies