Vaskulárna medicína 2/2016

Kidney transplantations utilizing grafts with complicated vascular supply

In the last decades, kidney transplantation has become the gold standard in the treatment of patients with end-stage renal disease (ESRD). The need for transplantations is increasing continuously and the lack of organs is partially compensated by extended donor criteria and utilization of marginal grafts. One of these potentially utilizable organs are kidney grafts with complicated vascular supply – multiple vessels and/or injured vessels during procurement procedure, with occurrence up to 30%, described in the literature. In general, these transplantations are considered more prone to higher occurrence of surgical complications (thrombosis, stenosis or bleeding ) making great demands on the transplant surgeons. Keeping the rules of microsurgical techniques and preventive strategies are essentials to perform these transplantations in the safely manner. In our study, we retrospectively analyzed the occurrence of early surgical complications of renal transplantations performed in our center in the period of years 2009 – 2013.

Keywords: kidney transplantation, complicated vascular supply, microsurgical technique, early complications