title: Favorable outcome of renal grafts with multiple arteries: a series of 198 patients.
abstract: OBJECTIVE
  We sought to report the postoperative complications, vascular reconstruction techniques and graft outcomes among our series of renal transplantations performed using grafts with multiple renal arteries.
  
  
  METHODS
  We reviewed retrospectively the medical records of 196 renal transplant patients of mean age 35.6 ± 13.3 years (range, 6-68) including 130 males and 66 females whose grafts from living (n = 164) or deceased (n = 32) donor with multiple arteries between 2006-2012. We noted the number of renal arteries, graft function, surgical technique, as well as vascular, urological and other complications.
  
  
  RESULTS
  Of the 196 patients, 182 had 2 and 14 had ≥ 3 renal arteries. The surgical technique was separate anastomosis of renal arteries to the external and/or common iliac artery in the majority of patients (86.2%), while 13.8% of patients underwent anastomosis as a single renal artery after cuff reconstruction. Three patients experienced a lymphocele and only 1, a urinary leak from lower end of ureter, which was repaired surgically. Graft survival was 96.9% with losses in 6 cases due to rejection.
  
  
  CONCLUSIONS
  Grafts bearing multiple renal arterial displayed low postoperative complication rates and good outcomes.
authors.affiliation: Atatürk Training and Research Hospital, Clinic of Surgery, Organ Transplantation Center, Ankara, Turkey. birkan.bozkurt@gmail.com
authors.forename: B
authors.initials: B
authors.lastname: Bozkurt
authors.forename: H
authors.initials: H
authors.lastname: Koçak
authors.forename: E G
authors.initials: EG
authors.lastname: Dumlu
authors.forename: A
authors.initials: A
authors.lastname: Mesci
authors.forename: V
authors.initials: V
authors.lastname: Bahadir
authors.forename: M
authors.initials: M
authors.lastname: Tokaç
authors.forename: N
authors.initials: N
authors.lastname: Hamidioğlu
authors.forename: Z
authors.initials: Z
authors.lastname: Ertuğ
authors.forename: G
authors.initials: G
authors.lastname: Süleymanlar
authors.forename: A
authors.initials: A
authors.lastname: Dinçkan
mesh_terms: D000328:Adult; D000368:Aged; D001158:Arteries; D005260:Female; D006801:Humans; D007668:Kidney / Q000098:blood supply*; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult