دورية أكاديمية
Renal transplantation on vascular prosthesis.
| العنوان: | Renal transplantation on vascular prosthesis. |
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| المؤلفون: | Nédélec, M., Glémain, P., Rigaud, J., Karam, G., Thuret, R., Badet, L., Kleinclauss, F., Timsit, M.O., Branchereau, Julien |
| المساهمون: | Institut de transplantation urologie-néphrologie (ITUN), Université de Nantes (UN)-Centre Hospitalier Universitaire de Nantes = Nantes University Hospital (CHU Nantes), Service d'urologie Montpellier, Hôpital Lapeyronie Montpellier (CHU), Service d'urologie Hôpital Edouard-Herriot, CHU-HCL, Hôpital Edouard Herriot CHU - HCL, Hospices Civils de Lyon (HCL)-Hospices Civils de Lyon (HCL), Service d'urologie, andrologie et transplantation rénale, Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon)-Hôpital Saint-Jacques, Service d'Urologie CHU Georges Pompidou, Hôpital Européen Georges Pompidou APHP (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), Centre de Recherche en Transplantation et Immunologie (U1064 Inserm - CRTI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Nantes - UFR de Médecine et des Techniques Médicales (UFR MEDECINE), Université de Nantes (UN)-Université de Nantes (UN), Comité de transplantation et d'insuffisance rénale chronique Paris (CTIRC) |
| المصدر: | ISSN: 1166-7087. |
| بيانات النشر: | HAL CCSD Elsevier Masson |
| سنة النشر: | 2019 |
| المجموعة: | Université de Nantes: HAL-UNIV-NANTES |
| مصطلحات موضوعية: | Renal transplantation, Transplantation rénale, Vascular prosthesis, Morbidity and mortality, Morbimortalité, Prothèse vasculaire, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology |
| الوصف: | International audience ; INTRODUCTION:In front of a very calcified aortoiliac axis, renal transplantation with implantation of the artery on vascular prosthesis can be proposed. This rare intervention is considered difficult and morbid. The main objective of this work was to evaluate the overall and specific survival of the transplant in this situation. The secondary objective was the study of the complications and the evolution of the transplant's renal function.MATERIAL AND METHODS:From a multicenter retrospective data collection of the DIVAT cohort (6 centers) added with data from 4 other transplant centers, we studied transplants with prosthetic arterial anastomosis.RESULTS:Thirty four patients was included. The median duration of follow-up was 2.5 years. 4 patients died in the month following transplantation, 16 were hemodialysis and 9 were transfused. The median survival of the transplant was 212 days. Functional arrests of the transplant were mostly associated with nephrological degradation and return to dialysis (about 80%) while 10% were related to a death of the recipient directly attributable to renal transplantation. The surgical complications of the transplantation were marked by one arterial stenosis, one fistula and 4 urinary stenoses.CONCLUSION:Thus, renal transplantation with arterial anastomosis on vascular prosthesis, on selected patients, offers an alternative to dialysis. A national compendium of transplanted patients on vascular prosthesis would allow a long-term follow-up of transplant's survival and define selection criteria prior to this kind of surgery. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | French |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/31447181; inserm-02286146; https://inserm.hal.science/inserm-02286146Test; https://inserm.hal.science/inserm-02286146/documentTest; https://inserm.hal.science/inserm-02286146/file/S1166708719301563.pdfTest; PII: S1166-7087(19)30156-3; PUBMED: 31447181 |
| DOI: | 10.1016/j.purol.2019.06.005 |
| الإتاحة: | https://doi.org/10.1016/j.purol.2019.06.005Test https://inserm.hal.science/inserm-02286146Test https://inserm.hal.science/inserm-02286146/documentTest https://inserm.hal.science/inserm-02286146/file/S1166708719301563.pdfTest |
| حقوق: | http://creativecommons.org/licenses/by-ncTest/ ; info:eu-repo/semantics/OpenAccess |
| رقم الانضمام: | edsbas.A758BFFC |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.purol.2019.06.005 |
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