Successful Repair of Kidney Graft Artery Rupture Secondary to Infection Using a Preprocessed Homologous ‘Y’-Shaped Iliac Artery
Kidney Disease Center, First Affiliated Hospital of Zhejiang University, Hangzhou, China
Meeting: 2019 American Transplant Congress
Abstract number: C136
Keywords: Surgical complications, Vascular disease
Session Information
Session Name: Poster Session C: Kidney Technical
Session Type: Poster Session
Date: Monday, June 3, 2019
Session Time: 6:00pm-7:00pm
Presentation Time: 6:00pm-7:00pm
Location: Hall C & D
*Purpose: This retrospective study aims to describe novel ways of repair kidney allograft artery rupture secondary to infection using a preprocessed homologous “Y”-shaped iliac artery.
*Methods: Five patients’ whose course was complicated by graft arterial rupture were included in the rupture group and patients who received the kidney from the same donor were included in the control group. In the rupture group, the iliac artery used for revascularization was harvested from a DCD donor, pre-treated with absolute diethyl ether, followed by absolute alcohol, and then preserved in 75% alcohol. A biopsy of the arterial graft was obtained and stained using hematoxylin and eosin (H&E). Once a patient was diagnosed with kidney allograft arterial rupture by ultrasound, emergency surgery was conducted and the preprocessed “Y”-shaped iliac artery was used for bridging.
*Results: Five patents were included in the rupture group. The “Y”-shaped iliac artery grafts were successfully preprocessed, H&E staining and electron microscope observation revealed few visible nuclei, with karorrhexis and karyolysi. There were no significant differences in the long-term graft survival between two groups.
*Conclusions: Using preprocessed homologous “Y”-shaped iliac artery provides a useful method to bridge the vascular defects from kidney graft artery rupture secondary to infection in renal allograft recipients.Key words: kidney transplant, infection, “Y”-shaped iliac artery
To cite this abstract in AMA style:
Liu G, Wang X, Wu J, Peng W, Wang R, Huang H, Chen J. Successful Repair of Kidney Graft Artery Rupture Secondary to Infection Using a Preprocessed Homologous ‘Y’-Shaped Iliac Artery [abstract]. Am J Transplant. 2019; 19 (suppl 3). https://atcmeetingabstracts.com/abstract/successful-repair-of-kidney-graft-artery-rupture-secondary-to-infection-using-a-preprocessed-homologous-y-shaped-iliac-artery/. Accessed December 10, 2024.« Back to 2019 American Transplant Congress