The Impact of Graft Thin Upper Pole Arterial Branch Ligation on Adult Living Donor Kidney Transplantation.
Transplant and Endocrine Surgery, Nagoya Daini Red Cross Hospital, Nagoya, Aichi, Japan.
Meeting: 2016 American Transplant Congress
Abstract number: A143
Keywords: Graft function, Kidney transplantation, Safety, Surgical complications
Session Information
Session Name: Poster Session A: Kidney Donor Outcomes
Session Type: Poster Session
Date: Saturday, June 11, 2016
Session Time: 5:30pm-7:30pm
Presentation Time: 5:30pm-7:30pm
Location: Halls C&D
Objective
In kidney transplanation, some upper pole branches are too thin to be reconstructed. The impact of graft thin upper pole arterial branch ligation on adult living donor kidney transplantation remains to be investigated
Methods
Between January 2008 and May 2015, 604 adult living donor kidney transplants were performed. 462 kidney grafts with single arteries (Single artery group), 125 kidney grafts with reconstructed arteries (Reconstruction group), and 17 kidney grafts with ligated thin upper pole arterial branch (Ligation group) were enrolled. To evaluate the efficacy of thin upper pole ligation, Ligation group was compared with other groups. Characteristics of donors, recipients, and operation, recipient eGFR, and complications were investigated.
Results
Warm ischemic time and total ischemic time were significantly longer in Reconstruction group
| Ligation group | Reconstruction group | Single artery group | Ligation vs. Reconstruction group | Ligation vs. Single artery group | |
| Number | 17 | 125 | 462 | p value | p value |
| Recipients | |||||
| Gender (M/F) | 5 /12 | 76 /49 | 285 / 177 | 0.02 | 0.01 |
| Age | 53.8 | 48.7 | 46.9 | 0.12 | 0.04 |
| BMI | 22.3 | 22.6 | 22.2 | 0.79 | 0.93 |
| Donors | |||||
| Gender (M/F) | 11 / 6 | 51 / 74 | 161 /301 | 0.07 | 0.02 |
| Age | 62.0 | 61.1 | 59.1 | 0.73 | 0.26 |
| BMI | 23.7 | 22.6 | 23.0 | 0.11 | 0.34 |
| eGFR | 68.9 | 74.2 | 75.1 | 0.19 | 0.06 |
| Operation | |||||
| Warm ischemic time (s) | 140.0 | 171.9 | 133.7 | 0.09 | 0.51 |
| Total ischemic time (m) | 100.9 | 136.8 | 92.8 | <0.01 | 0.38 |
. Recipient eGFR and each complication in Ligation group were similar to other groups 
,
| Ligation group | Reconstruction group | Single artery group | |
| Number | 17 | 125 | 462 |
| Arterial thrombosis | 0 | 1 | 2 |
| Urine leakage | 0 | 1 | 6 |
| Ureteric stricture | 1 | 1 | 3 |
| Bleeding | 0 | 2 | 10 |
| Lymphocele | 0 | 3 | 5 |
| Urinary tract infection | 0 | 5 | 10 |
| Surgical site infection | 0 | 1 | 5 |
.
Conclusions
Graft thin upper pole arterial branch ligation can be a safe procedure.
CITATION INFORMATION: Hiramitsu T, Okada M, Yamamoto T, Tsujita M, Goto N, Narumi S, Watarai Y. The Impact of Graft Thin Upper Pole Arterial Branch Ligation on Adult Living Donor Kidney Transplantation. Am J Transplant. 2016;16 (suppl 3).
To cite this abstract in AMA style:
Hiramitsu T, Okada M, Yamamoto T, Tsujita M, Goto N, Narumi S, Watarai Y. The Impact of Graft Thin Upper Pole Arterial Branch Ligation on Adult Living Donor Kidney Transplantation. [abstract]. Am J Transplant. 2016; 16 (suppl 3). https://atcmeetingabstracts.com/abstract/the-impact-of-graft-thin-upper-pole-arterial-branch-ligation-on-adult-living-donor-kidney-transplantation/. Accessed November 22, 2024.« Back to 2016 American Transplant Congress