Transplantation Using Renal Grafts With Multiple Renal Arteries: A Putative Study on the Impact of Arterial Reconstruction Technique and Site of Implantation on Outcomes

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dc.authoridKutluturk, Koray/0000-0002-7030-4953
dc.authoridSahin, Idris/0000-0002-8683-3737
dc.authoridSimsek, Arife/0000-0002-4807-3597
dc.authoridDOGAN, SAIT MURAT/0000-0001-8840-4365
dc.authoridOkut, Gokalp/0000-0002-3641-5625
dc.authoridSAHIN, TEVFIK TOLGA/0000-0002-9132-6115
dc.authorwosiddogan, Gulec mert/AAT-5815-2021
dc.authorwosidOkut, Gokalp/GRE-9040-2022
dc.authorwosidUslu, Adam/HJZ-1454-2023
dc.authorwosidKutluturk, Koray/S-5493-2019
dc.authorwosidSahin, Idris/AAS-4390-2020
dc.authorwosidSimsek, Arife/AAB-3245-2021
dc.authorwosidDOGAN, SAIT MURAT/AAP-7924-2021
dc.contributor.authorDogan, Sait M.
dc.contributor.authorDogan, Gulec
dc.contributor.authorSimsek, Cenk
dc.contributor.authorOkut, Gokalp
dc.contributor.authorBerktas, Bayram
dc.contributor.authorSimsek, Arife
dc.contributor.authorKutluturk, Koray
dc.date.accessioned2024-08-04T20:48:55Z
dc.date.available2024-08-04T20:48:55Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground. In the present retrospective study, we analyzed the outcomes of patients transplanted with grafts with multiple renal arteries (MRAs). Patients and Methods. In total, 89 patients were transplanted with renal grafts with MRAs from 2003 to 2018. Demographic characteristics; type of donor; warm and cold ischemia times; arterial anastomosis technique; complications; graft function at first month, first year, and last outpatient clinic visit; and patient and graft survival were all retrospectively evaluated. Results. The mean age of the patients was 40.4 +/- 13.3 years. Fifty-six patients (62.9%) were male. In total, 42 patients (47.2%) received renal grafts from living related donors. In group A (n = 24; 27%), anastomosis was performed separately to the recipient external or internal iliac arteries; in group B (n = 38; 42.7%), the secondary artery was anastomosed to the main artery in a side-to-side fashion to form a single common orifice; in group C (n = 27; 30.3%), secondary arteries were anastomosed to the main renal artery in an end-to-side fashion. Creatinine clearance at the first month was significantly lower for deceased-donor grafts compared to living-donor renal grafts (P < .05). Creatinine clearance in the first postoperative month was significantly lower in group A and creatinine clearance in the first year was significantly lower in group C (P <.05). The best survival was found for anastomosis to the internal iliac artery (P < .05). Conclusion. MRAs can be safely used and the reconstruction technique does not matter if the graft kidney's arterial supply is preserved and the internal iliac artery is chosen for anastomosis.en_US
dc.identifier.doi10.1016/j.transproceed.2020.08.024
dc.identifier.endpage926en_US
dc.identifier.issn0041-1345
dc.identifier.issn1873-2623
dc.identifier.issue3en_US
dc.identifier.pmid32919803en_US
dc.identifier.scopus2-s2.0-85090732962en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage920en_US
dc.identifier.urihttps://doi.org/10.1016/j.transproceed.2020.08.024
dc.identifier.urihttps://hdl.handle.net/11616/99531
dc.identifier.volume53en_US
dc.identifier.wosWOS:000634241800024en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofTransplantation Proceedingsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[No Keywords]en_US
dc.titleTransplantation Using Renal Grafts With Multiple Renal Arteries: A Putative Study on the Impact of Arterial Reconstruction Technique and Site of Implantation on Outcomesen_US
dc.typeArticleen_US

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