Vascular anastomosis for paediatric renal transplantation and new strategy in lowweight children

Vascular anastomosis for paediatric renal transplantation and new strategy in lowweight children

Author Gomes, Adriano Luis Google Scholar
Nogueira, Paulo Cesar Koch Autor UNIFESP Google Scholar
Carvalho de Camargo, Maria Fernanda Google Scholar
Feltran, Luciana de Santis Google Scholar
Baptista-Silva, José Carlos Costa Autor UNIFESP Google Scholar
Institution Hosp Samaritano
Universidade Federal de São Paulo (UNIFESP)
Hosp Rim & Hipertensao
Abstract The technical aspects of RT in low-weight children should be specific, particularly with regard to VA. This retrospective study assesses the main VA options in paediatric RTs and proposes a new strategy for renal artery trajectory when using the Ao and the right iVC. the sample included 81 patients and was categorized into a group of children weighing <16kg and the other group of children weighing 16kg or more. the smaller children received the graft predominantly on the Ao and iVC (63%); however, the VA options varied in children weighing more than 16kg, with anastomoses predominantly to the common iliac vessels (46%). in the first group, when the Ao was the selected vessel for anastomosis on the right side, the trajectory adopted for the transplanted kidney artery was posterior to the iVC. This strategy may reduce the risk of compression of the iVC by the renal artery of the donor kidney and may reconstitute the normal anatomy of the renal artery. Moreover, it did not represent a risk factor for graft loss in this sample.
Keywords kidney transplantation
paediatrics
surgical anastomosis
technical issues
post-operative complications
Language English
Date 2014-06-01
Published in Pediatric Transplantation. Hoboken: Wiley-Blackwell, v. 18, n. 4, p. 342-349, 2014.
ISSN 1397-3142 (Sherpa/Romeo, impact factor)
Publisher Wiley-Blackwell
Extent 342-349
Origin http://dx.doi.org/10.1111/petr.12248
Access rights Closed access
Type Article
Web of Science ID WOS:000335392700014
URI http://repositorio.unifesp.br/handle/11600/37849

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