OJOTS  Vol.5 No.1 , February 2015
Renal Transplantation in Patients with Aortoiliac Prosthetic Grafts: A Case Report and Pertinent Review of Literature
Abstract: Renal transplantation in a patient with aortoiliac prosthetic graft is a unique challenge. It requires that the renal artery is anastomosed directly to the vascular prosthetic graft. Nearly 0.2%-1.7% of the patients with aortoiliac prosthesis require renal transplantation in their life time. Outcomes following such procedure are controversial and anecdotal. In this report we present a unique case in which the renal artery was anastomosed to vascular prosthetic graft with a pertinent review of the literature.
Cite this paper: Patil, S. , Sun, H. , Geffner, S. , Stephen Fletcher, H. and Chamberlain, R. (2015) Renal Transplantation in Patients with Aortoiliac Prosthetic Grafts: A Case Report and Pertinent Review of Literature. Open Journal of Organ Transplant Surgery, 5, 1-5. doi: 10.4236/ojots.2015.51001.

[1]   Pittaluga, P., Hassen-Khodja, R., Cassuto-Viguier, E., Batt, M., Declemy, S., Bariseel, H., Toubol, J. and Le, B.P. (1998) Aortoiliac Reconstruction and Kidney Transplantation: A Multicenter Study. Annals of Vascular Surgery, 12, 529-536.

[2]   Tsivian, M., Neri, F., Nardo, B., Bertelli, R., Cavallari, G., Fuga, G. and Faenza, A. (2009) Aortoiliac Surgery Concomitant with Kidney Transplantation: A Single Center Experience. Clinical Transplantation, 23, 164-167.

[3]   Coosemans, W., Nevelsteen, A., Pirenne, J. and Vanrenterghem, Y. (1999) Renal Transplantation in Patients with a Vascular Aortoiliac Prosthesis. Transplantation Proceedings, 31, 1925-1927.

[4]   Gouny, P., Lenot, B., Decaix, B., Rondeau, E., Kitzis, M., Lacave, R., Bensenane, J. and Nussaume, O. (1991) Aortoiliac Surgery and Kidney Transplantation. Annals of Vascular Surgery, 5, 26-31.

[5]   Van der Vliet, J.A., Naafs, D.B., Van Bockel, J.H., Kootstra, G., Boll, A.P., Barendregt, W.B. and Buskens, F.G. (1996) Fate of Renal Allografts Connected to Vascular Prostheses. Clinical Transplantation, 10, 199-202.

[6]   Wright, J.G., Tesi, R.J., Massop, D.W., Henry, M.L., Durham, J.R., Ferguson, R.M. and Smead, W.L. (1991) Safety of Simultaneous Aortic Reconstruction and Renal Transplantation. American Journal of Surgery, 162, 126-130.

[7]   Moe, S.M. and Chen, N.X. (2004) Pathophysiology of Vascular Calcification in Chronic Kidney Disease. Circulation Research, 95, 560-567.

[8]   Schwarz, U., Buzello, M., Ritz, E., Stein, G., Raabe, G., Wiest, G., Mall, G. and Amann, K. (2000) Morphology of Coronary Atherosclerotic Lesions in Patients with End-Stage Renal Failure. Nephrology Dialysis Transplantation, 15, 218-223.

[9]   Davins, M., Llagostera, S., Jimenez, R., Rosales, A., Romero, J.M. and Diaz, J.M. (2009) Aortofemoral Bypass to Bridge End-Stage Renal Disease Patients with Severee Iliac Calcification to Kidney Transplantation. Vascular, 17, 269-272.

[10]   Catala, V., Marti, T., Diaz, J.M., Cordeiro, E., Samaniego, J., Rosales, A. and De La Torre, P. (2010) Use of Multidetector CT in Presurgical Evaluation of Potential Kidney Transplant Recipients. Radiographics, 30, 517-531.

[11]   Andres, A., Revilla, Y., Ramos, A., Gonzalez, E., Vereda, M.S., Praga, M., Morales, E., Morales, J.M., Diaz, R., Cruceyra, G., Aguirre, F., Leiva, O. and Gragera, F. (2003) Helical Computed Tomography Angiography Is the Most Efficient Test to Assess Vascular Calcifications in the Iliac Arterial Sector in Renal Transplant Candidates. Transplantation Proceedings, 35, 1682-1683.

[12]   Brekke, I.B., Lien, B., Sodal, G., Jakobsen, A., Bentdal, O., Pfeffer, P., Flatmark, A. and Fauchald, P. (1993) Aortoiliac Reconstruction in Preparation for Renal Transplantation. Transplant International, 6, 161-163.

[13]   Burgos, F.J., Pascual, J., Marcen, R., Garcia-Navas, R., Gomez, V. and Ortuno, J. (2004) The Role of Imaging Techniques in Renal Transplantation. World Journal of Urology, 22, 399-404.

[14]   Sterioff Jr., S., Zachary, J.B. and Williams, G.M. (1974) Dacron Vascular Grafts in Renal Transplant Patients. American Journal of Surgery, 127, 525-528.

[15]   Ahlmen, J., Henriksson, C., Claes, G., Gelin, L.E. and Thoren, O. (1979) Successful Kidney Transplantation in a Man with Dacron “Trouser” Prosthesis. Scandinavian Journal of Urology and Nephrology, 13, 133-135.

[16]   Pampaloni, F., Sanchez, L.J., Bencini, L. and Taddei, G. (2002) Simultaneous Aortoiliac Reconstruction and Renal Transplantation: Is It Safe? Chirurgia Italiana, 54, 115-120.

[17]   Piquet, P., Berland, Y., Coulange, C., Olmer, M., Mercier, C. and Rampal, M. (1989) Aortoiliac Reconstruction and Renal Transplantation: Staged or Simultaneous. Annals of Vascular Surgery, 3, 251-256.