Moreno-Alarcón Cristóbal, Server-Pastor Gerardo, López-González Pedro Ángel, López-Cubillana Pedro, Ruiz-Morcillo José Carlos, Doñate-Iñíguez Gloria, Olarte-Barragán Edgar Humberto, Gómez-Gómez Guillermo Antonio
Department of Urology, University of Murcia, University Hospital Virgen de la Arrixaca, Murcia, Spain.
Nephrourol Mon. 2013 Winter;5(1):692-6. doi: 10.5812/numonthly.4928. Epub 2012 Dec 15.
Multiple renal arteries in kidney grafts have been associated with an increased rate of vascular and urologic complications. Our objective is to compare the outcome of transplanted patients who receive a single pedicle kidney with those who receive a multiple arterial graft.
To find our the differences in the outcome and complications in patients undergoing kidney transplantation with one single artery or with multiple arteries.
We analyzed 147 kidney transplantations, (all performed in our hospital over a 3 year period). population divided into two groups: group A for those who presented with only one renal artery, or group B for those with more than one renal artery. Homogeneous vascular reconstructions and implantation rules were applied in all patients. We compared the rates of renal failure between the two groups, urinary and vascular complications, patient and graft survivals and the levels of creatinine clearance during the first year of post-transplantation.
No significant differences were found between the two groups regarding to the values analyzed.
As many other authors, we do believe that the presence of multiple renal arteries in kidney grafts should not be considered as a predictive factor of transplantation failure.
肾移植中多支肾动脉与血管及泌尿系统并发症发生率增加有关。我们的目的是比较接受单蒂肾移植患者与接受多支动脉移植患者的移植结局。
找出接受单支动脉或多支动脉肾移植患者在结局和并发症方面的差异。
我们分析了147例肾移植病例（均在我院3年期间内进行）。将患者分为两组：A组为仅有一支肾动脉的患者，B组为有一支以上肾动脉的患者。所有患者均采用相同的血管重建和植入规则。我们比较了两组之间的肾衰竭发生率、泌尿系统和血管并发症、患者及移植物存活率以及移植后第一年的肌酐清除率水平。
在分析的各项数值方面，两组之间未发现显著差异。
与许多其他作者一样，我们确实认为肾移植中多支肾动脉的存在不应被视为移植失败的预测因素。
