V11-06 RENAL GRAFT IN A PATIENT WITH ILIAC DACRON PROSTHESIS

Abstract

You have accessJournal of UrologyTransplant, Misc GU Cancers & Bladder Reconstruction (non-cancer) (V11)1 Apr 2020V11-06 RENAL GRAFT IN A PATIENT WITH ILIAC DACRON PROSTHESIS Anna Colomer, Oscar Buisan Rueda*, Mario Alves Oliveira, and Joan Areal Calama Anna ColomerAnna Colomer More articles by this author , Oscar Buisan Rueda*Oscar Buisan Rueda* More articles by this author , Mario Alves OliveiraMario Alves Oliveira More articles by this author , and Joan Areal CalamaJoan Areal Calama More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000945.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Nowadays approximately more than 1% of the patients with aortoiliac prosthesis are candidates of renal transplantation in their life time. We present a case of kidney transplantation with renal graft artery anastomosis directly to a iliac Dacron prosthesis. METHODS: In this video we present a case of a 76 years old male undergoing kidney transplantation with renal graft artery anastomosis directly to a iliac Dacron prosthesis. Patient medical history includes arterial hypertension, auricular fibrillation, aortobifemoral bypass in 2002 due to abdominal aorta aneurism, chronic renal failure in hemodialysis since 2013. A previous kidney transplantation was performed in 2018 with early graft dysfunction. The steps of the surgical technique are described. RESULTS: Renal graft was placed in left iliac fossa. Arterial anastomosis to iliac Dacron bypass. Cold ischemia time was 20h and 20'. Postoperative recovery was with no vascular events, but delay in graft function was observed. Postoperative doppler ultrasound reveled good arterial and venous flow. Patient was discharged home on post-operative day 25. After 2 months follow-up the transplanted kidney is working well with a creatinine of 1,99. The patient presents good urinary diuresis and does not require dialysis. CONCLUSIONS: Renal transplantation can be a good option and safely performed in patient with iliac disease, presenting a good short-term outcome. Source of Funding: No source of funding. © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e1016-e1016 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Anna Colomer More articles by this author Oscar Buisan Rueda* More articles by this author Mario Alves Oliveira More articles by this author Joan Areal Calama More articles by this author Expand All Advertisement PDF downloadLoading ...