title: Vascular reconstruction in monolateral dual kidney transplantation with multiple arteries.
abstract: We report the results of monolateral dual kidney transplantation with grafts with multiple arteries. Among the 42 monolateral DKT performed in a seven-yr period, 12 (28.5%) patients received renal grafts with multiple arteries. In six patients, the accessory arteries were anastomosed end-to-side or side-to-side on the aortic patch. In six patients, with three or more accessory arteries, a vascular reconstruction with an inferior vena cava patch was performed, before implanting the kidney. There were no intraoperative complications in the entire series, and there were no immediate vascular complications. Vascular reconstruction of kidneys with multiple arteries may be performed safely even in monolateral dual kidney transplantation. Inferior vena cava may be an attractive alternative in vascular reconstruction for kidneys with multiple arteries.
authors.affiliation: Vascular Surgery and Organ Transplant Unit, Department of Surgery, Transplantation and Advanced technologies, University Hospital of Catania, Catania, Italy. veroux@unict.it
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Veroux
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Giuffrida
authors.forename: Burcin
authors.initials: B
authors.lastname: Ekser
authors.forename: Nunzia
authors.initials: N
authors.lastname: Sinagra
authors.forename: Alessia
authors.initials: A
authors.lastname: Giaquinta
authors.forename: Alessandra
authors.initials: A
authors.lastname: Leonardi
authors.forename: Pierfrancesco
authors.initials: P
authors.lastname: Veroux
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection / Q000401:mortality; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods* / Q000401:mortality*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D019651:Plastic Surgery Procedures / Q000401:mortality*; D012077:Renal Artery / Q000601:surgery*; D015996:Survival Rate; D014656:Vascular Surgical Procedures / Q000401:mortality*