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Procedure: Kidney Transplant

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Post-kidney transplantation external iliac artery stenosis due to vascular clamp: report of a case
We report a case of right external iliac artery stenosis after kidney transplantation surgery caused by vascular clamp application injury. The patient presented with claudication of the ipsilateral lower limb and the lesion was diagnosed angiographically. The patient was treated with endovascular stent placement.Relatamos um caso de estenose da artéria ilíaca externa direita após cirurgia de transplante renal causada por lesão durante a colocação de um clampe vascular. O paciente apresentou claudicação do membro inferior ipsilateral e a lesão foi diagnosticada angiograficamente. O paciente foi tratado com colocaç...
Source: Jornal Vascular Brasileiro - November 5, 2014 Category: Surgery Source Type: research

Impact of Surgeon's Experience on Vascular and Haemorrhagic Complications After Kidney Transplantation
The aim of this study was to investigate the independent risk factors of vascular and haemorrhagic complications after kidney transplantation (KTx) and to evaluate how the surgeon's experience affects the rate of vascular and haemorrhagic complications.
Source: Journal of Vascular Surgery - January 22, 2019 Category: Surgery Authors: Y. Kulu, P. Fathi, M. Golriz, E. Khajeh, M. Sabagh, O. Ghamarnejad, M. Mieth, A. Ulrich, T. Hackert, B.P. M üller-Stich, O. Strobel, C. Michalski, C. Morath, M. Zeier, M.W. Büchler, A. Mehrabi Tags: Selected Abstract from the January Issue of the European Journal of Vascular and Endovascular Surgery Source Type: research

Amplatzer vascular plug for occlusion or flow reduction of hemodialysis arteriovenous access
Conclusions: The results of this short preliminary study suggest that plug insertion for occlusion or for flow reduction in a hemodialysis AVA constitutes a reasonable alternative to coil insertion or to open surgery in selected patients.
Source: Journal of Vascular Surgery - November 7, 2013 Category: Surgery Authors: Pierre Bourquelot, Lamisse Karam, Alain Raynaud, Bernard Beyssen, Jean-Baptiste Ricco Tags: Vascular and endovascular techniques Source Type: research

Contrast-Induced Nephropathy After Peripheral Vascular Interventions in Kidney Transplant Recipients
Contrast-induced nephropathy (CIN) is a dreaded complication of peripheral vascular interventions (PVIs), especially for kidney transplant recipients (KTRs). However, the incidence of and factors associated with CIN in that population of patients have not been studied.
Source: Journal of Vascular Surgery - August 21, 2019 Category: Surgery Authors: Shin-Rong Lee, Alan Dardik, Cassius I. Ochoa Chaar Tags: Abstract from the 2019 New England Society for Vascular Surgery Annual Meeting Source Type: research

Life-saving vascular access in vascular capital exhaustion: single center experience in intra-atrial catheters for hemodialysis.
CONCLUSION: Placing an IAC to perform HD is associated to significant risks and high mortality. However, when alternative RRT are exhausted, or as a bridge to others modalities, this option should be considered. PMID: 28355409 [PubMed - in process]
Source: Jornal Brasileiro de Nefrologia - March 30, 2017 Category: Urology & Nephrology Tags: J Bras Nefrol Source Type: research

Endovascular treatment of external iliac vein stenosis caused by graft compression after kidney transplantation
A 57-year old patient presented with approximately 80% stenosis of the left external iliac vein due to compression by the renal graft after kidney transplantation. The initial clinical manifestation of this vascular complication was progressive edema of the left lower limb, starting in the foot during the immediate postoperative period and reaching the thigh. Renal function also deteriorated during the first four months after transplantation. Venous Doppler ultrasound findings were suggestive of a diagnosis of extrinsic compression by the kidney graft and so phlebography was ...
Source: Jornal Vascular Brasileiro - October 5, 2013 Category: Surgery Source Type: research

Endovascular treatment of external iliac vein stenosis caused by graft compression after kidney transplantation
A 57-year old patient presented with approximately 80% stenosis of the left external iliac vein due to compression by the renal graft after kidney transplantation. The initial clinical manifestation of this vascular complication was progressive edema of the left lower limb, starting in the foot during the immediate postoperative period and reaching the thigh. Renal function also deteriorated during the first four months after transplantation. Venous Doppler ultrasound findings were suggestive of a diagnosis of extrinsic compression by the kidney graft and so phlebography was ordered, confirming stenosis of the left externa...
Source: Jornal Vascular Brasileiro - October 14, 2013 Category: Surgery Source Type: research

Haemodialysis vascular access: current practices amongst Indian nephrologists.
CONCLUSIONS: The survey provides a snapshot of the current status of vascular access care in HD patients and highlights need for pre-dialysis clinics, vascular access services and registry audits. PMID: 29192721 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - December 2, 2017 Category: Surgery Tags: J Vasc Access Source Type: research

Current status of dialysis and vascular access in Taiwan.
Authors: Chen CF, Chen FA, Lee TL, Liao LF, Chen CY, Tan AC, Chan CH, Lin CC Abstract Due to the implementation of the National Health Insurance system in 1995, the number of patients receiving maintenance dialysis has increased rapidly. This contributed to Taiwan to be in an unfortunate position of possessing the highest prevalence of end-stage renal disease globally. Although the age-standardized incidence of end-stage renal disease gradually decreased to -1.1% in 2014, the huge economic burden that comes with dialysis is detrimental to the quality of dialysis treatment. To achieve a balance between economy and q...
Source: The Journal of Vascular Access - October 27, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Timing of referral for vascular access for hemodialysis: Analysis of the current status and the barriers to timely referral.
CONCLUSION: Only 23% of patients were referred for vascular access 6 months before the anticipated hemodialysis therapy. In addition, 53% of patients initiated hemodialysis with a central venous catheter. Avoidance of catheter insertion was mostly successful in patients referred 2 months before hemodialysis initiation. The most common modifiable barrier to the timely referral was noncompliance. PMID: 30958094 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - April 10, 2019 Category: Surgery Tags: J Vasc Access Source Type: research

Blood temperature monitoring-guided vascular access intervention improved dialysis adequacy.
CONCLUSION: Access flow estimation by blood temperature monitoring might identify candidates who require vascular intervention. Blood temperature monitoring-guided vascular intervention significantly improved access flow and dialysis adequacy. PMID: 33021432 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - October 8, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Hemodialysis vascular access affects heart function and outcomes: Tips for choosing the right access for the individual patient.
Authors: Malik J, Lomonte C, Rotmans J, Chytilova E, Roca-Tey R, Kusztal M, Grus T, Gallieni M Abstract Chronic kidney disease is associated with increased cardiovascular morbidity and mortality. A well-functioning vascular access is associated with improved survival and among the available types of vascular access the arterio-venous (AV) fistula is the one associated with the best outcomes. However, AV access may affect heart function and, in some patients, could worsen the clinical status. This review article focuses on the specific cardiovascular hemodynamics of dialysis patients and how it is affected by the AV...
Source: The Journal of Vascular Access - November 6, 2020 Category: Surgery Tags: J Vasc Access Source Type: research

Mp32-20 kidney transplantation from living donors with renal and vascular pathology
With the present disparity between organ availability and recipient demands, living donor kidneys with renal and vascular pathology were used to increase the donor pool. We review our experience in using kidneys with renal and vascular pathology.
Source: The Journal of Urology - March 28, 2016 Category: Urology & Nephrology Authors: Mahmoud Alameddine, Zhobin Moghadamyeghaneh, Mohammed Osman, Luay Alshara, Mahmoud Morsi, Vincent Chia, Gaetano Ciancio Tags: Transplantation & Vascular Surgery: Renal Transplantation Vascular Surgery II Source Type: research

No consensus on physicians' preferences on vascular access management after kidney transplantation: Results of a multi-national survey.
CONCLUSION: Although respondents recognize a reduced left ventricular ejection fraction and a high flow as the risk factors, the high disagreement on management preferences suggests that evidence is inconclusive to recommend arteriovenous fistula ligation or maintenance after kidney transplantation. More research is needed to determine optimal arteriovenous fistula management after successful kidney transplantation. PMID: 29843559 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - May 31, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

The past and the future of vascular access surgery: Creation of percutaneous arteriovenous fistula using Ellipsys vascular access system in a patient with previous ipsilateral Scribner-shunt.
CONCLUSIONS: This is the first report of the creation of pAVF in a patient with previous "traumatic" ipsilateral placement of a Scribner-shunt. It allows the creation of a small anastomosis in very short time, which can be successfully used for hemodialysis treatment on the same day, if necessary, and reduces the expected risk of high-flow AVF with associated peripheral steal and cardiac outcomes (especially in a patient with cardiomyopathy such this one). PMID: 33222590 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - November 25, 2020 Category: Surgery Tags: J Vasc Access Source Type: research