title: Thoracic aorta to femoral artery bypass allows secondary kidney transplantation in case of major iliac artery disease.
abstract: Iliac artery major calcifications can compromise kidney graft. First-performed prosthetic arterial bypass from the thoracic aorta to the femoral artery allows secondary kidney transplantation. Four patients were submitted to this procedure. No patient died during the postoperative period or the follow-up. The median time to receive a kidney graft after the arterial surgery was 24 months (4-52). The normalization of the sera creatinine level was 6.4 days (2-15). The median follow-up was 38 months (7-79). In our experience, using lateral side clamping of the descendant thoracic aorta during the proximal implantation of the arterial graft avoids bleeding and visceral abdominal ischemia. The secondary performed kidney graft is safe on a very available arterial conduit.
authors.affiliation: Department of Vascular Surgery, Rouen University Hospital, Rouen, France.
authors.forename: Antoine
authors.initials: A
authors.lastname: Monnot
authors.affiliation: Department of Vascular Surgery, Rouen University Hospital, Rouen, France.
authors.forename: Marie Lainay
authors.initials: ML
authors.lastname: Lebras
authors.affiliation: Department of Vascular Surgery, Rouen University Hospital, Rouen, France.
authors.forename: Martin
authors.initials: M
authors.lastname: Rouer
authors.affiliation: Department of Vascular Surgery, Rouen University Hospital, Rouen, France. Electronic address: didier.plissonnier@chu-rouen.fr.
authors.forename: Didier
authors.initials: D
authors.lastname: Plissonnier
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D001013:Aorta, Thoracic / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000601:surgery*; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery; D007676:Kidney Failure, Chronic / Q000150:complications / Q000601:surgery; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D015607:Stents; D014656:Vascular Surgical Procedures / Q000379:methods*