Orthotopic Kidney Transplantation in an Elderly Patient With Various Severe Comorbid Conditions: A Case Report

被引：8

作者：

Sasaki, H. ^{[1
]}

Nakazawa, R. ^{[1
]}

Iwata, T. ^{[1
]}

Usuba, W. ^{[1
]}

Yoshie, H. ^{[1
]}

Fujimoto, E. ^{[1
]}

Metoki, H. ^{[1
]}

Katsuoka, Y. ^{[1
]}

Aida, K. ^{[1
]}

Kudo, H. ^{[1
]}

Koitabashi, K. ^{[2
]}

Yazawa, M. ^{[2
]}

Shibagaki, Y. ^{[2
]}

Marui, Y. ^{[1
]}

Chikaraishi, T. ^{[1
]}

机构：

[1] St Marianna Univ, Dept Urol, Sch Med, Kawasaki, Kanagawa, Japan

[2] St Marianna Univ, Div Nephrol & Hypertens, Dept Internal Med, Sch Med, Kawasaki, Kanagawa, Japan

来源：

TRANSPLANTATION PROCEEDINGS | 2017年 / 49卷 / 10期

关键词：

RENAL-TRANSPLANTATION; SURGICAL TECHNIQUE; RECIPIENTS; ISCHEMIA;

D O I：

10.1016/j.transproceed.2017.09.008

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

In recent years, the frequency of high-risk kidney transplantations has increased. We report a case in which a 72-year-old man with various severe comorbidities (prostate cancer, diabetes mellitus, complete atrioventricular block, coronary artery stenosis, severe stenosis of the popliteal arteries, and severe calcification of the iliac arteries) who received an orthotopic kidney transplantation. To prevent the occurrence of acute limb ischemia due to the steal phenomenon (caused by the kidney graft), we decided that a heterotopic kidney transplantation involving the iliac arteries was not an appropriate option. Therefore, as an alternative, left native nephrectomy was performed followed by an orthotopic kidney transplantation to the native renal artery and renal vein through a left subcostal incision. Postoperative ureteral stenosis occurred, and so stent exchange was required every 6 months. Despite the ureteral complication, the patient's serum creatinine level was 1.5 mg/dL at 2 years after the procedure.

引用

页码：2388 / 2391

页数：4

共 13 条

[1]

DANOVITCH G.M., 2009, Handbook of kidney transplantation

[2]

De Gracia R, 2007, Actas Urol Esp, V31, P1123

[3] ORTHOTOPIC RENAL-TRANSPLANT AND RESULTS IN 139 CONSECUTIVE CASES [J].

GILVERNET, JM ;

GILVERNET, A ;

CARALPS, A ;

CARRETERO, P ;

TALBOTWRIGHT, R ;

ANDREU, J ;

CAMPOS, JA .

JOURNAL OF UROLOGY, 1989, 142 (02) :248-252

[4] Acute lower limb ischemia following pediatric renal transplantation [J].

Goldsmith, P. J. ;

Fraser, S. M. ;

Fitzpatrick, M. ;

Scott, D. J. ;

Ahmad, N. .

PEDIATRIC TRANSPLANTATION, 2010, 14 (07) :E93-E95

[5] THE TRANSPLANTATION OF DIFFICULT DONOR KIDNEYS AND RECIPIENTS - HELPFUL SURGICAL TECHNIQUES [J].

HAYES, JM .

JOURNAL OF UROLOGY, 1993, 149 (02) :250-254

[6] Orthotopic Kidney Transplant: a Valid Surgical Alternative for Complex Patients [J].

Hevia, Vital ;

Gomez, Victoria ;

Alvarez, Sara ;

Diez-Nicolas, Vctor ;

Fernandez, Ana ;

Javier Burgos, Francisco .

CURRENT UROLOGY REPORTS, 2014, 16 (01) :1-5

[7]

Ip EC, 2012, INT J TRANSPLANT MED, V3, P26

[8] HOMOTRANSPLANTATION OF THE KIDNEY IN THE HUMAN - A PRELIMINARY REPORT [J].

LAWLER, RH ;

WEST, JW ;

MCNULTY, PH ;

CLANCY, EJ ;

MURPHY, RP .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1950, 144 (10) :844-845

[9] Orthotopic Kidney Transplantation: An Alternative Surgical Technique in Selected Patients [J].

Musquera, Mireia ;

Peri, Lluis L. ;

Alvarez-Vijande, Ricardo ;

Oppenheimer, Federico ;

Maria Gil-Vernet, Jose ;

Alcaraz, Antonio .

EUROPEAN UROLOGY, 2010, 58 (06) :927-933

[10] Does kidney transplantation to iliac artery deteriorate ischemia in the ipsilateral lower extremity with peripheral arterial disease? [J].

Northcutt, Ashley ;

Zibari, Gazi ;

Tan, Tze-Woei ;

Coulter, Amy H. ;

Zhang, Wayne W. .

VASCULAR, 2015, 23 (05) :490-493

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