Abstract
Outcomes of Complex V/S Simple Vascular Anatomy Grafts Following Living Donor Renal Transplant - Experience from a Tertiary Care Center
Highlights
Chronic kidney disease is an increasing global public health problem, both in developed and developing countries [1]
Complex vascular anatomy living donor transplants should be done in high volume centers by experienced surgeons
Renal transplantation using grafts with multiple renal vessels are technically difficult with increased warm ischemia time; mean operative time and a higher risk for vascular and urological complications when compared to grafts with single renal artery [3,4]
Summary
Chronic kidney disease is an increasing global public health problem, both in developed and developing countries [1]. A living donor graft should have a simple vascular anatomy with single artery and vein for best outcomes [3]. Renal transplantation using grafts with multiple renal vessels are technically difficult with increased warm ischemia time; mean operative time and a higher risk for vascular and urological complications when compared to grafts with single renal artery [3,4]. Kidneys with multiple vessels in live renal donors are avoided and simple vascular anatomy grafts are preferred. In live related renal allograft transplant, the donor pool is limited and ethical issue and legislation in India does not give much choice for recipients having donors with complex vascular anatomy. Living donor renal transplant with grafts having complex vascular anatomy is technically difficult with higher complications. We present our experience of complex vascular anatomy living donor renal grafts as compared to grafts with simple vascular anatomy
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