2026, Number 1
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Rev Mex Traspl 2026; 15 (1)
Renal transplant with multiple arteries: experience at the General Hospital of Zacatecas
Rodríguez-Gallardo BL, Berumen-Salinas DM, Pérez-Guerrero P, Rodríguez-Solís MJ, Lechuga-García NA
Language: Spanish
References: 24
Page: 30-34
PDF size: 393.31 Kb.
ABSTRACT
The presence of multiple renal arteries constitutes the
most frequent anatomical variation in the kidney, which is
why kidney transplants with this variation are no longer
considered isolated cases. However, over the years, it has been
considered a factor in the development of complications in
transplant recipients, as well as a higher risk of graft loss.
The aim of this study is to understand the epidemiology and
evolution of transplant recipients with multiple arteries at the
General Hospital of Zacatecas «Luz González Cosío», where
36 living donor kidney transplants were performed between
2019 and 2024. These were divided into two groups based
on the number of renal arteries: group 1 with a single artery
and group 2 with multiple arteries. In the latter group, eight
patients (22.2%) were identified, of whom three underwent
early transplantation. Although there is a tendency for the
total operative time to differ between the two groups, ischemia
times and serum creatinine values are similar, suggesting that
long-term outcomes, both in terms of graft survival and patient
survival, are comparable between those who received kidney
transplants with either a single or multiple renal arteries.
REFERENCES
Obrador GT, Álvarez-Estévez G, Bellorín E, Bonanno-Hidalgo C,Clavero R, Correa-Rotter R et al. Documento de consenso sobrenuevas terapias para retrasar la progresión de la enfermedadrenal crónica con énfasis en los iSGLT-2: implicacionespara Latinoamérica. Nefro Latinoam. 2024; 21 (Supl.): 1-18.Disponible en: https://www.nefrologialatinoamericana.com/
Ghazanfar A, Tavakoli A, Zaki MR, Pararajasingam R, CampbellT, Parrott NR, Augustine T, Riad HN. The outcomes of living donorrenal transplants with multiple renal arteries: a large cohort studywith a mean follow-up period of 10 years. Transplant Proc. 2010;42 (5): 1654-1658. doi: 10.1016/j.transproceed.2009.12.067.
Sistema Informático del Registro Nacional de Trasplantes (2025)Estado actual de Receptores, Donación y Trasplantes en México-Anual 2024, México, CENATRA. Disponible en: https://www.gob.mx/cms/uploads/attachment/file/967152ESTADISTICAS_ANUAL_2024.pdf
Reynaga OL, Olivares EM. Enfermedad renal crónica enMéxico: retos y propuestas. Revista CuidArte. 2024; 13 (25).doi: 10.22201/fesi.23958979e.2024.13.25.84821.
Zorgdrager M, Krikke C, Hofker S, Leuvenink H, Pol R. Multiple renalarteries in kidney transplantation: a systematic review and metaanalysis.Ann Transplant. 2016; 21: 469-478. Available in: http://www.annalsoftransplantation.com/abstract/index/idArt/898748
Aydin C, Berber I, Altaca G, Yigit B, Titiz I. The outcome of kidneytransplants with multiple renal arteries. Bio Med Central. 2004;4. Available in: http://www.biomedcentral.com/1471-2482/4/4
Ali-El-Dein B, Osman Y, Shokeir AA, Shehab El-Dein AB,Sheashaa H, Ghoneim MA. Multiple arteries in live donor renaltransplantation: surgical aspects and outcomes. J Urol. 2003;169 (6): 2013-2017. doi: 10.1097/01.ju.0000067637.83503.3e.
Chabchoub K, Mhiri MN, Bahloul A, Fakhfakh S, Ben Hmida I,Hadj Slimen M et al. Does kidney transplantation with multiplearteries affect graft survival? Transplant Proc. 2011; 43 (9):3423-3425. doi: 10.1016/j.transproceed.2011.09.027.
Karakaya E, Akdur A, Ayvazoglu Soy E, Moray G, HaberalM. Success rate of grafts with multiple renal vessels in 3136kidney transplants. Exp Clin Transplant. 2021; 19 (1): 14-19. doi:
10.6002/ect.2020.0339.10. Mahajan AD, Patel ND, Singh Pal L, Bathe S, Darakh PP, PatilM. Retrospective analysis of the comparison between singlerenal artery versus multiple renal arteries in living donor kidneytransplant: does it affect the outcome? Exp Clin Transplant.2021; 19 (1): 38-43. doi: 10.6002/ect.2020.0244
Sevmis M, Demir ME, Merhametsiz O, Aktas S, Sevmis S, UyarM. Grafts with multiple renal arteries in kidney transplantation.Transplant Proc. 2021; 53 (3): 933-940. Available in: https://doi.org/10.1016/j.transproceed.2020.07.019
Lorenzo A, Troconis V, Grimalt L, Casanovas E, RomeroI, Rocafuerte C. vascularización arterial renal. Revisiónde las variantes anatómicas y sus relevancias de cara aplanificaciones terapéuticas endovasculares, España, SERAM.2018. Disponible en: https://piper.espacio-seram.com/index.php/seram/article/view/1512
Garcia LE, Parra N, Gaynor JJ, Baker L, Guerra G, Ciancio G.Clinical outcomes following single vs. multiple vessel living-donorkidney transplantation: a retrospective comparison of 210 patients.Front Surg. 2021; 8: 693021. doi: 10.3389/fsurg.2021.693021.
Inoue K, Hori S, Tomizawa M, Yoneda T, Nakai Y, Miyake M etal. Evaluating graft loss risk in living-donor kidney transplantswith multiple renal arteries. Ann Transplant. 2024; 29: e946489.doi: 10.12659/AOT.946489. Available in: https://www.annalsoftransplantation.com/abstract/index/idArt/946489
Lim YM, Han X, Raman L, Ng TK, Goh TH, Vathsala A et al.Outcome of living donor transplant kidneys with multiple arteries.Transplant Proc. 2016; 48 (3): 848-851. Available in: http://dx.doi.org/10.1016/j.transproceed.2015.12.104
Tyson MD, Castle EP, Ko EY, Andrews PE, Heilman RL, MekeelKL et al. Living donor kidney transplantation with multiple renalarteries in the laparoscopic era. Urology. 2011; 77 (5): 1116-1121. doi: 10.1016/j.urology.2010.07.503.
Afriansyah A, Rasyid N, Rodjani A, Wahyudi I, Mochtar CA,Susalit E et al. Laparoscopic procurement of single versusmultiple artery kidney allografts: Meta-analysis of comparativestudies. Asian J Surg. 2019; 42 (1): 61-70. Available in: www.easianjournalsurgery.com
Venkatesh KK, Sreenivasan Kodakkattil S, Parameswaran S,Abdulbasith KM, Kalra S, Lalgudi Narayanan D et al. Long-termoutcomes and survival in patients undergoing multiple vs. singlerenal artery transplants: a retrospective cohort study. Cureus.2025; 17 (1): e78165. doi: 10.7759/cureus.78165
Kasap Y, Karaaslan M, Senel S, Tastemur S, Olcucuoglu E. Theimpact of living donor nephrectomy with multiple renal arterieson graft function and complications in renal transplantation.Transplant Proc. 2021; 53 (6): 1887-1891. Available in: https://doi.org/10.1016/j.transproceed.2021.06.004
Schmidt J, Peters R, Mang J, Ralla B, Moldovan DE, Dagnaes-Hansen J et al. Retrospective analysis of the perioperative outcomein living donor kidney transplantation with multiple renal arteries:does accessory vessel ligation affect the outcome? World J Urol.2024; 42 (1): 161. doi: 10.1007/s00345-024-04883-9.
Basaran O, Moray G, Emiroglu R, Alevli F, Haberal M. Graft andpatient outcomes among recipients of renal grafts with multiplearteries. Transplant Proc. 2004; 36 (1): 102-104. doi: 10.1016/j.transproceed.2003.11.012.
Khattab O. Comparison between single and multiple renalvessels in live donor allograft kidney transplantation: Surgicalaspects and outcomes, 25 years experience. InternationalJournal of Surgery Open. 2021; 35: 100394. Available in: https://doi.org/10.1016/j.ijso.2021.100394
Sezer TO, Solak I, Toz H, Kardaslar B, Er A, Hoscoskun C. Longtermoutcomes of kidney transplants with multiple renal arteries:a retrospective study. Transplant Proc. 2012; 44 (6): 1697-1699.Available in: http://dx.doi.org/10.1016/j.transproceed.2012.04.026
Saidi R, Kawai T, Kennealey P, Tsouflas G, Elias N, Hertl M et al.Living donor kidney transplantation with multiple arteries: recentincrease in modern era of laparoscopic donor nephrectomy.Arch Surg. 2009; 144 (5): 472-475. Available in: http://archsurg.jamanetwork.com/