ABSTRACT
OBJECTIVE: To determine if the anatomical vascular variations of the renal allograft affect kidney function after a transplant surgery. METHODS: Patients that received kidney transplantation in a period of six years were included. The anatomical vascular variations of the allograft, techniques for reconstruction, outcomes in kidney function and surgical vascular complications were investigated and a comparison between the group with multiple renal arteries (MRA) and the group with a single (SRA) renal artery was performed. RESULTS: In a period of six years 477 kidney transplants were performed; 22.8% (109) presented MRA of the allograft. In these patients, an anastomosis for two, three, or four arteries was performed. Fifteen percent (72) presented multiple veins. The mean serum creatinine at day seven and three years later were 1.32 and 1.43 mg/dL respectively for the group with MRA; for the group with SRA 1.2 and 1.38 mg/dL respectively. Vascular surgical complications occurred in 2.48% (4) in the group with MRA and in 1.2% (2) in the group with SRA. CONCLUSIONS: There is no difference in kidney function and incidence of surgical vascular complications between both groups.
Subject(s)
Kidney Transplantation , Kidney/blood supply , Adolescent , Adult , Female , Humans , Longitudinal Studies , Male , Middle Aged , Retrospective Studies , Young AdultABSTRACT
Se describe la experiencia del primer centro de trasplante renal en alcanzar mil trasplantes renales, efectuados en el período 1963 a 1998. Se destaca que el Centro Médico Nacional Siglo XXI efectuó el primer trasplante renal en México en octubre de 1963, siendo el segundo país de Latinoamérica, después de Argentina, quien lo efectuó en 1957. Los primeros 18 trasplantes se efectuaron entre 1963 y 1968, en los que 14 procedieron de donador cadáver (DC). Entre 1975 y 1985 se efectuaron 320 trasplantes, con gran actividad de trasplantes, sólo en 1975 se efectuaron 50 trasplantes de los que 18 procedieron de DC. A partir de 1992 el grupo de trasplante renal actual efectuó 509 trasplantes hasta 1998y acumuló la más grande experiencia de trasplantes renales en México.
