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Gómez Dos Santos V, Hevia Palacios V, Galeano Álvarez C, et al. Complicaciones vasculares del trasplante renal. Diagnóstico y tratamiento. [Renal allograft transplant vascular complications. Diagnostic and treatment.]. Arch Esp Urol. 2021;74(10):1013-1028
Gómez Dos Santos, V., Hevia Palacios, V., Galeano Álvarez, C., Olavarría Delgado, A., Díez Nicolás, V., Jiménez Álvaro, S., Álvarez Rodríguez, S., Lorca Álvaro, J., Del Cristo Artiles Medina, A., Mata Alcaraz, M., & Burgos Revilla, F. J. (2021). Complicaciones vasculares del trasplante renal. Diagnóstico y tratamiento. [Renal allograft transplant vascular complications. Diagnostic and treatment.]. Archivos espanoles de urologia, 74(10), 1013-1028.
Gómez Dos Santos, Victoria, et al. "Complicaciones vasculares del trasplante renal. Diagnóstico y tratamiento." [Renal allograft transplant vascular complications. Diagnostic and treatment.]. Archivos espanoles de urologia vol. 74,10 (2021): 1013-1028.
Gómez Dos Santos V, Hevia Palacios V, Galeano Álvarez C, Olavarría Delgado A, Díez Nicolás V, Jiménez Álvaro S, Álvarez Rodríguez S, Lorca Álvaro J, Del Cristo Artiles Medina A, Mata Alcaraz M, Burgos Revilla FJ. Complicaciones vasculares del trasplante renal. Diagnóstico y tratamiento. [Renal allograft transplant vascular complications. Diagnostic and treatment.]. Arch Esp Urol. 2021 Dec;74(10):1013-1028. Spanish. PMID: 34851316.
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Arch Esp Urol. 2021 Dec;74(10):1013-1028.

[Renal allograft transplant vascular complications. Diagnostic and treatment.].

Archivos espanoles de urologia

[Article in Spanish]
Victoria Gómez Dos Santos, Vital Hevia Palacios, Cristina Galeano Álvarez, Andreina Olavarría Delgado, Victor Díez Nicolás, Sara Jiménez Álvaro, Sara Álvarez Rodríguez, Javier Lorca Álvaro, Alberto Del Cristo Artiles Medina, Marina Mata Alcaraz, Francisco Javier Burgos Revilla

Affiliations

  1. Servicio de Urología. Hospital Universitario Ramón y Cajal. Grupo de Investigación Quirúrgica en Urología y Trasplante Renal. IRYCIS. Universidad de Alcalá. Madrid. España.
  2. Servicio de Nefrología. Hospital Universitario Ramón y Cajal. Grupo de Investigación Quirúrgica en Urología y Trasplante Renal. IRYCIS. Universidad de Alcalá. Madrid. España.
  3. Servicio de Radiodiagnóstico. Hospital Universitario Ramón y Cajal. Grupo de Investigación Quirúrgica en Urología y Trasplante Renal. IRYCIS. Universidad de Alcalá. Madrid. España.

PMID: 34851316

Abstract

Vascular complications remain common after renal transplantation, occurring in 3% to 15% of patients. These complications can compromise graft function,with graft loss rates ranging from 12.6 to 66.7%.Vascular abnormalities of the graft, specifically the presence of multiple vessels, represent the most frequently studied risk factor for the development of vascular complications. Other risk factors identified for the development of vascular complications are linked to the characteristics of the recipient, or thromboembolic diseasesharing atherosclerosis and/or hypercoagulant state aspathogenic features.Although the most frequent vascular complication is renal artery stenosis, we will also address the complications according to their early or late on set in order to highlightthe potentially more severe complications that may affectgraft survival during the follow-up period.Early vascular complications include mainly arterial and venous thrombosis and lacerations or disruptions of artery and/or vein, as well as arterio-venous fistulas or intrarenal pseudoaneurysms. In contrast, late-onset complications include stenosis or kinking of the renal artery-and less commonly of the renal vein-, as well as extrinsic compression as a consequence of the presence of perigraft fluid collections. Finally, extrarenal pseudoaneurysm is a potentially severe complication in the late post-transplant period.Finally, this article explores special transplant situations such as complications derived from the paediatric donor in adult recipients, transplantation in the paediatric recipient and emerging techniques like robotic renal transplantation.

Keywords: Enfermedad periférica vascular; Estenosis arteria renal; Kidney transplant; Pediatric kidney transplant; Peripheral vascular disease; Pseudoanerisma arteria renal; Renal artery pseudoaneurism; Renal artery stenosis; Renal venous thrombosis; Trasplante renal pediátrico; Trasplante renal; Trombosis venosa renal

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