ABSTRACT
We report the results of 90 stretch polytetrafluoroethylene (PTFE) grafts in 78 chronic renal failure patients over a 3-year period from 1995-1998. The grafts were used as primary access in 15% of the patients. The cumulative patency was 63.3% and there were no complications in 48.8% of the cases. Infection was encountered in 15.5% and thrombosis in 31.1% of the grafts. Intimal hyperplasia, venous anastomotic stenosis, improper puncture technique and subclavian vein stenosis were the major causes of failure of grafts. We conclude that stretch PTFE grafts as angioaccesses may provide good patency and durability.
ABSTRACT
We evaluated our experience with renal transplantation to determine its safety and efficacy. Of the 47 renal transplants performed at our institution from June 1992 to December 1995, 29 were performed from living related donors and 18 from cadaveric donors. The age of the patients ranged from 17 to 65 years with a mean age of 32.2 years. Patient survival, allograft survival and the incidence of complications were used as determinants of successful outcome. Patient survival was 100% for both groups. The allograft survival was 100% for living related donor recipients, with 90% of the cases having normal graft function and 96% for cadaveric recipients with 78% of the cases having normal graft function after a mean follow-up of 24 months (range 3 to 42 months). The incidence of complications encountered was similar to that reported from European and North American renal transplant centers. Our study shows the safety and efficacy of the renal transplantation program in the Eastern Province of Saudi Arabia.
ABSTRACT
Acute renal allograft rupture is a well recognised though uncommon complication of transplantation. Previous reports suggest a close association with rejection and record a high incidence of graft loss and significant mortality. In a series of 11 consecutive allograft ruptures, no graft required removal at initial exploration and eight are still functioning with a mean follow-up of 20 months. This experience shows acute renal allograft rupture is a relatively benign complication and that conservative management leads to a satisfactory outcome in the majority of patients.
