Orthotopic kidney transplantation is a possible solution in difficult situations
Background. Kidney transplantation is the most preferable definitive treatment for the end-stage renal disease. Often, patients who need an organ transplantation have peculiar anatomical features that require a non-standard approach to performing this surgery.Objective. To present a clinical case of...
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| Language: | English |
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N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department
2025-04-01
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| Series: | Трансплантология (Москва) |
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| Online Access: | https://www.jtransplantologiya.ru/jour/article/view/962 |
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| author | D. V. Perlin A. V. Terentyev T. S. Vasiliev Ya. N. Dankov |
| author_facet | D. V. Perlin A. V. Terentyev T. S. Vasiliev Ya. N. Dankov |
| author_sort | D. V. Perlin |
| collection | DOAJ |
| description | Background. Kidney transplantation is the most preferable definitive treatment for the end-stage renal disease. Often, patients who need an organ transplantation have peculiar anatomical features that require a non-standard approach to performing this surgery.Objective. To present a clinical case of orthotopic kidney transplantation in a patient with occlusive thrombosis of the external iliac veins.Material and methods. A 31-year-old patient with stage 5 chronic kidney disease and occlusive thrombosis of the external iliac veins being prepared for a related donor kidney transplantation.Results. Orthotopic kidney transplantation was performed. In order to ensure a sufficient length of the donor kidney artery and the convenience of its anastomosis, a segment of the recipient's splenic artery was used. The venous and ureteral segments of the graft were anastomosed end-to-end with the recipient's renal vein and ureter, respectively. After the surgery completion, the graft function was immediate. In the postoperative period, three-component immunosuppressive therapy was used. At the time of discharge, plasma creatinine was 0.15 mmol/L.Conclusion. Orthotopic kidney transplantation should be considered as an alternative solution in case of obliteration, thrombosis or atherosclerotic lesion of the recipient's iliac vessels. The method can be used in recipients with two or more previous transplants. |
| format | Article |
| id | doaj-art-df52d43f26ca401c88299f9929aef455 |
| institution | Kabale University |
| issn | 2074-0506 2542-0909 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department |
| record_format | Article |
| series | Трансплантология (Москва) |
| spelling | doaj-art-df52d43f26ca401c88299f9929aef4552025-08-20T03:56:36ZengN.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare DepartmentТрансплантология (Москва)2074-05062542-09092025-04-01171101810.23873/2074-0506-2025-17-1-10-18642Orthotopic kidney transplantation is a possible solution in difficult situationsD. V. Perlin0A. V. Terentyev1T. S. Vasiliev2Ya. N. Dankov3Volgograd Regional Uronephrological Center; Volgograd State Medical UniversityVolgograd Regional Uronephrological Center; Volgograd State Medical UniversityVolgograd Regional Uronephrological CenterVolgograd Regional Uronephrological CenterBackground. Kidney transplantation is the most preferable definitive treatment for the end-stage renal disease. Often, patients who need an organ transplantation have peculiar anatomical features that require a non-standard approach to performing this surgery.Objective. To present a clinical case of orthotopic kidney transplantation in a patient with occlusive thrombosis of the external iliac veins.Material and methods. A 31-year-old patient with stage 5 chronic kidney disease and occlusive thrombosis of the external iliac veins being prepared for a related donor kidney transplantation.Results. Orthotopic kidney transplantation was performed. In order to ensure a sufficient length of the donor kidney artery and the convenience of its anastomosis, a segment of the recipient's splenic artery was used. The venous and ureteral segments of the graft were anastomosed end-to-end with the recipient's renal vein and ureter, respectively. After the surgery completion, the graft function was immediate. In the postoperative period, three-component immunosuppressive therapy was used. At the time of discharge, plasma creatinine was 0.15 mmol/L.Conclusion. Orthotopic kidney transplantation should be considered as an alternative solution in case of obliteration, thrombosis or atherosclerotic lesion of the recipient's iliac vessels. The method can be used in recipients with two or more previous transplants.https://www.jtransplantologiya.ru/jour/article/view/962orthotopic kidney transplantationrepeated kidney transplantationstage 5 chronic kidney disease |
| spellingShingle | D. V. Perlin A. V. Terentyev T. S. Vasiliev Ya. N. Dankov Orthotopic kidney transplantation is a possible solution in difficult situations Трансплантология (Москва) orthotopic kidney transplantation repeated kidney transplantation stage 5 chronic kidney disease |
| title | Orthotopic kidney transplantation is a possible solution in difficult situations |
| title_full | Orthotopic kidney transplantation is a possible solution in difficult situations |
| title_fullStr | Orthotopic kidney transplantation is a possible solution in difficult situations |
| title_full_unstemmed | Orthotopic kidney transplantation is a possible solution in difficult situations |
| title_short | Orthotopic kidney transplantation is a possible solution in difficult situations |
| title_sort | orthotopic kidney transplantation is a possible solution in difficult situations |
| topic | orthotopic kidney transplantation repeated kidney transplantation stage 5 chronic kidney disease |
| url | https://www.jtransplantologiya.ru/jour/article/view/962 |
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