Systematic review of the results of kidney transplantation in patients with aortoiliac revascularization surgery

Introduction: chronic kidney disease (CKD) increases and accelerates the arterial calcification process, increasing the prevalence of peripheral arterial disease in these patients. The aim of this systematic review is to evaluate the results of kidney transplantation in patients who have undergone open revascularization surgery in the aorto-iliac sector for chronic lower limb arteriopathy. Material and methods: systematic review, following QUORUM recommendations, of articles in PubMed and Cochrane, in English or Spanish, which include patients with CKD, who have undergone open revascularization surgery of the aorto-iliac sector in the past or as a prior indication to kidney transplantation. Articles included described immediate complications, graft survival and patient survival after kidney transplantation. Results: the search generated 253 articles and after the systematic review, 8 articles that included, 101 patients were selected, 84.2 % of whom were transplanted. Complications of revascularization surgery were 25.9 % and complications of kidney transplantation were 28.2 %. Median follow-up was 22 months (range: 6.7 to 71). Graft survival was 80 % and patient survival was 100 % at the end of follow-up. Conclusion: the coexistence of vascular and kidney disease should not be an obstacle to performing a kidney transplantation. Since the data published so far shows satisfactory results in graft and patient survival.