title: Risk factors for renal allograft compartment syndrome.
abstract: Renal allograft compartment syndrome (RACS) is graft dysfunction secondary to intracompartment hypertension. The purpose of this study was to identify risk factors for RACS. We reviewed 7 cases of established RACS and all intra-abdominal placements of the kidney in order to include potential RACS. We also studied early graft losses in order to rule out a missed RACS. We compared the allograft length and width, recipient height, weight, body mass index, aberrant vessels, site of incision, and side of kidney with the remainder of the cohort as potential predictors of RACS. Among 538 transplants, 40 met the criteria for actual RACS or potential RACS. We uncovered 7 cases of RACS. Only kidney length and width were statistically significant (P = 0.041 and 0.004, respectively). The width was associated with a higher odds ratio than was length (2.315 versus 1.61). Increased allograft length and width should be considered as a potential risk for RACS.
authors.affiliation: 1 Department of Transplant Surgery, Einstein Medical Center, Philadelphia, Pennsylvania, USA.
authors.forename: Jorge
authors.initials: J
authors.lastname: Ortiz
authors.forename: Afshin
authors.initials: A
authors.lastname: Parsikia
authors.forename: Mindy M
authors.initials: MM
authors.lastname: Horrow
authors.forename: Kamran
authors.initials: K
authors.lastname: Khanmoradi
authors.forename: Stalin
authors.initials: S
authors.lastname: Campos
authors.forename: Radi
authors.initials: R
authors.lastname: Zaki
mesh_terms: D064591:Allografts; D003161:Compartment Syndromes / Q000209:etiology*; D005260:Female; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D012307:Risk Factors
keywords: Compartment Syndrome; Kidney; Transplant