Document Detail


Single-center study of technical graft loss in 714 consecutive renal transplants.
MedLine Citation:
PMID:  15446325     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
No series has specifically focused on rates of technical failure in the kidney transplantation operation. We retrospectively examined the incidence of technical graft loss in a single kidney transplant program. A total of 714 transplants were performed, with a mean follow-up of 3.4 years (range 2-5 years). Technical graft loss was defined as graft loss within the first 2 weeks, without evidence of allograft rejection. Fourteen patients (2%) demonstrated technical graft loss, none of whom received kidneys with multiple renal arteries (n = 106 with multiple renal arteries). The incidence of technical graft loss was significantly higher in diabetic recipients (4.3% vs. 1.4%, P = 0.03). The mean donor age was significantly higher (46.7 vs. 38.1 years, P = 0.05) in patients with technical graft loss. We observed that arterial thrombosis seemed to be related to the donor (older donor significant risk P = 0.04) and that venous thrombosis seemed to be related to the recipient (four of seven patients with positive hypercoagulable workup).
Authors:
Michael J Englesbe; Jeffery D Punch; Douglas R Armstrong; Juan D Arenas; Randall S Sung; John C Magee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Transplantation     Volume:  78     ISSN:  0041-1337     ISO Abbreviation:  Transplantation     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-09-27     Completed Date:  2004-10-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0132144     Medline TA:  Transplantation     Country:  United States    
Other Details:
Languages:  eng     Pagination:  623-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, Division of Transplantation, University of Michigan Medical Center, 2926 Taubman Box 0331, 1500 E. Medical Center Drive, Ann Arbor, MI 48109-0331, USA. englesbe@med.umich.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child, Preschool
Female
Graft Survival
Humans
Kidney Transplantation* / adverse effects
Male
Middle Aged
Retrospective Studies
Thrombosis / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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