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2020, Number 3

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Rev Mex Traspl 2020; 9 (3)

Multiple arteries and veins in kidney allografts. Literature review about anatomy and embriology on renal vascular variations, and on the results in donation and transplantation of kidneys with vascular multiplicity

Rubio-Marín B, Roca-Rodríguez CA, Ramírez-Hernández JM

Language: Spanish
References: 37
Page: 120-129
PDF size: 297.06 Kb.


ABSTRACT

The worldwide increment in the incidence of chronic kidney disease has generated a situation with greater demand on kidney donation superior to the number of annual renal transplantations. For this reason, it’s necessary the use of renal allograft from expanded criteria donors. In the expanded criteria, the renal anatomic variants have a particular relevancy for being alterations originated under the embriogenesis period, and for being present in approximately 35% of the population, with the presence of multiple renal arteries as the most common variant. Even thought in the year 2012 the use of kidney allografts with vascular multiplicity was no longer a contraindication, thanks to technological advancements and the development of new vascular reconstruction techniques that allow a higher safety in transplantation, with similar results as the transplantation of kidney allografts without multiple vascularity; the management of renal allografts with multiple vascularity is still a major challenge for the surgeon.


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