title: Results of Renal Transplantation on Alloplastic Arterial Grafts.
abstract: BACKGROUND
  The aim of this retrospective study was to report results of a consecutive series of kidney transplant patients in whom the renal artery was implanted on a prosthetic vascular graft (PVG).
  
  
  METHODS
  Between January 2011 and December 2014, 208 deceased donor renal transplantations (68 female, 140 male, mean age 52, SD 16 years) were performed. Medical charts and outpatient clinical records of patients who had undergone renal artery implantation on a PVG were reviewed. Extensive literature research added to our 4 patients further 170 published cases during 1989 and 2015 and was compared with regular transplanted patients. Data on patient characteristics, prior vascular procedures, postoperative and long-term outcome were collected.
  
  
  RESULTS
  Patients with transplant renal artery anastomosis on a PVG were 4 years older than the control group. Function of the graft was similar in these patients compared to regular renal transplant patients. Resistance indices assessed in our clinic over the entire follow-up period showed also no significant difference between the 2 groups. Thirty-day mortality was 6% (none in our group), which occurred mostly in combination when renal transplantation and PVG replacement was performed simultaneously.
  
  
  CONCLUSIONS
  Grafting of the renal artery to a PVG is feasible and yields good results, despite the technical difficulties involved.
authors.affiliation: Department of Vascular Surgery, Friedrich Alexander University Erlangen, Erlangen, Germany.
authors.forename: Tolga Atilla
authors.initials: TA
authors.lastname: Sagban
authors.forename: Susanne
authors.initials: S
authors.lastname: Regus
authors.forename: Katharina
authors.initials: K
authors.lastname: Heller
authors.forename: Johannes
authors.initials: J
authors.lastname: Jacobi
authors.forename: Hendrik
authors.initials: H
authors.lastname: Apel
authors.forename: Bastian
authors.initials: B
authors.lastname: Keck
authors.forename: Mario
authors.initials: M
authors.lastname: Richterstetter
authors.forename: Kai Uwe
authors.initials: KU
authors.lastname: Eckardt
authors.forename: Bernd
authors.initials: B
authors.lastname: Wullich
authors.forename: Werner
authors.initials: W
authors.lastname: Lang
mesh_terms: D000328:Adult; D000368:Aged; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D000072226:Computed Tomography Angiography; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects / Q000379:methods*; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex