Gawish A E, Donia F, Samhan M, Halim M A, Al-Mousawi M
Hamed Al-Essa Organ Transplant Center, Kuwait.
Transplant Proc. 2007 May;39(4):1116-7. doi: 10.1016/j.transproceed.2007.03.067.
Renal allograft transplantation with multiple arteries (MRA) was always avoided as much as possible as it is technically demanding and carries a higher MSK for complications. This was a single-center study to explore the graft outcomes of kidney transplantation with MRA.
We retrospectively reviewed the medical records of 35 patients who received kidney grafts with MRA for the surgical technique, surgical complications, graft function, and graft survival. The results were compared with those achieved in recipients of kidney grafts with a single renal artery (SRA).
Of 35 grafts, there were 2 renal arteries in 30 grafts, and 3 renal arteries in 5 grafts. In the MRA group, there were 7 instances of surgical complications, the mean serum creatinine levels were 122, 139, and 156 micromol/L at 1 month, 1 year, and 5 years, respectively, and the actuarial graft survival rates were 94.3%, 88.6%, and 83% at 1, 5, and 10 years, respectively. In the SRA group, there were 56 instances of surgical complications, the mean serum creatinine levels were 115, 121, and 141 micromol/L at 1 month, 1 year, and 5 years, respectively, and the actuarial graft survival rates were 93.7%, 88.1%, and 84.4% at 1, 5, and 10 years, respectively.
Although transplantation of MRA grafts might carry a relatively higher risk for complications, it is justified because it gives results comparable with those achieved in SRA.
肾移植中多支动脉（MRA）的情况总是尽可能避免，因为其技术要求高且并发症的手术相关并发症（MSK）风险更高。这是一项单中心研究，旨在探讨多支动脉肾移植的移植物结局。
我们回顾性分析了35例接受多支动脉肾移植患者的病历，以了解手术技术、手术并发症、移植物功能和移植物存活情况。将结果与单支肾动脉（SRA）肾移植受者的结果进行比较。
35例移植物中，30例有2支肾动脉，5例有3支肾动脉。在多支动脉组中，有7例手术并发症，1个月、1年和5年时的平均血清肌酐水平分别为122、139和156微摩尔/升，1年、5年和10年时的精算移植物存活率分别为94.3%、88.6%和83%。在单支肾动脉组中，有56例手术并发症，1个月、1年和5年时的平均血清肌酐水平分别为115、121和141微摩尔/升，1年、5年和10年时的精算移植物存活率分别为93.7%、88.1%和84.4%。
尽管多支动脉移植物移植可能有相对较高的并发症风险，但这是合理的，因为其结果与单支肾动脉移植相当。
