Aortobifemoral Bypass in Kidney Transplant Candidates: A Ten-Year Experience
In patients with severe aorto-iliac calcifications, vascular reconstructions can be performed in order to allow kidney transplantation. The aim of this study was to analyze the outcomes of kidney transplant candidates who underwent an aortobifemoral bypass (ABFB) for aorto-iliac calcifications. A re...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-02-01
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| Series: | Transplant International |
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| Online Access: | https://www.frontierspartnerships.org/articles/10.3389/ti.2024.12085/full |
| _version_ | 1827293163213029376 |
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| author | Pascaline Bonnin Salomé Kuntz Salomé Kuntz Sophie Caillard Nabil Chakfé Nabil Chakfé Anne Lejay Anne Lejay |
| author_facet | Pascaline Bonnin Salomé Kuntz Salomé Kuntz Sophie Caillard Nabil Chakfé Nabil Chakfé Anne Lejay Anne Lejay |
| author_sort | Pascaline Bonnin |
| collection | DOAJ |
| description | In patients with severe aorto-iliac calcifications, vascular reconstructions can be performed in order to allow kidney transplantation. The aim of this study was to analyze the outcomes of kidney transplant candidates who underwent an aortobifemoral bypass (ABFB) for aorto-iliac calcifications. A retrospective study including all kidney transplant candidates who underwent an ABFB between 2012 and 2022 was performed. Primary outcome was 30-day morbidity-mortality after ABFB. Secondary outcome was accessibility to kidney transplant waiting list. Twenty-two ABFBs were performed: 10 ABFBs in asymptomatic patients presenting severe aorto-iliac circumferential calcifications without hemodynamic consequences, and 12 ABFBs in symptomatic patients in whom aorto-iliac calcifications were responsible for claudication or critical limb threatening ischemia. Overall 30-day mortality was 0%. Overall 30-day morbidity was 22.7%: 1 femoral hematoma and 1 retroperitoneal hematoma requiring surgical drainage in the asymptomatic group, and 2 digestive ischemia requiring bowel resection and 1 femoral hematoma requiring surgical drainage in the symptomatic group. Among the 22 patients, 20 patients could access to kidney waiting list and 8 patients underwent a kidney transplantation, including 3 living-donor transplantations. Aorto-iliac revascularization can be an option to overcome severe calcifications contraindicating kidney transplantation. |
| first_indexed | 2024-04-24T13:19:33Z |
| format | Article |
| id | doaj.art-8de98a36eea04e1d8ebd9a739563ad0a |
| institution | Directory Open Access Journal |
| issn | 1432-2277 |
| language | English |
| last_indexed | 2024-04-24T13:19:33Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Transplant International |
| spelling | doaj.art-8de98a36eea04e1d8ebd9a739563ad0a2024-04-04T16:24:20ZengFrontiers Media S.A.Transplant International1432-22772024-02-013710.3389/ti.2024.1208512085Aortobifemoral Bypass in Kidney Transplant Candidates: A Ten-Year ExperiencePascaline Bonnin0Salomé Kuntz1Salomé Kuntz2Sophie Caillard3Nabil Chakfé4Nabil Chakfé5Anne Lejay6Anne Lejay7Department of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, Strasbourg, FranceDepartment of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, Strasbourg, FranceGepromed, Strasbourg, FranceDepartment of Nephrology and Kidney Transplantation, University Hospital of Strasbourg, Strasbourg, FranceDepartment of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, Strasbourg, FranceGepromed, Strasbourg, FranceDepartment of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, Strasbourg, FranceGepromed, Strasbourg, FranceIn patients with severe aorto-iliac calcifications, vascular reconstructions can be performed in order to allow kidney transplantation. The aim of this study was to analyze the outcomes of kidney transplant candidates who underwent an aortobifemoral bypass (ABFB) for aorto-iliac calcifications. A retrospective study including all kidney transplant candidates who underwent an ABFB between 2012 and 2022 was performed. Primary outcome was 30-day morbidity-mortality after ABFB. Secondary outcome was accessibility to kidney transplant waiting list. Twenty-two ABFBs were performed: 10 ABFBs in asymptomatic patients presenting severe aorto-iliac circumferential calcifications without hemodynamic consequences, and 12 ABFBs in symptomatic patients in whom aorto-iliac calcifications were responsible for claudication or critical limb threatening ischemia. Overall 30-day mortality was 0%. Overall 30-day morbidity was 22.7%: 1 femoral hematoma and 1 retroperitoneal hematoma requiring surgical drainage in the asymptomatic group, and 2 digestive ischemia requiring bowel resection and 1 femoral hematoma requiring surgical drainage in the symptomatic group. Among the 22 patients, 20 patients could access to kidney waiting list and 8 patients underwent a kidney transplantation, including 3 living-donor transplantations. Aorto-iliac revascularization can be an option to overcome severe calcifications contraindicating kidney transplantation.https://www.frontierspartnerships.org/articles/10.3389/ti.2024.12085/fullkidney transplantationvascular calcificationvascular surgical proceduresblood vessel prosthesiskidney |
| spellingShingle | Pascaline Bonnin Salomé Kuntz Salomé Kuntz Sophie Caillard Nabil Chakfé Nabil Chakfé Anne Lejay Anne Lejay Aortobifemoral Bypass in Kidney Transplant Candidates: A Ten-Year Experience Transplant International kidney transplantation vascular calcification vascular surgical procedures blood vessel prosthesis kidney |
| title | Aortobifemoral Bypass in Kidney Transplant Candidates: A Ten-Year Experience |
| title_full | Aortobifemoral Bypass in Kidney Transplant Candidates: A Ten-Year Experience |
| title_fullStr | Aortobifemoral Bypass in Kidney Transplant Candidates: A Ten-Year Experience |
| title_full_unstemmed | Aortobifemoral Bypass in Kidney Transplant Candidates: A Ten-Year Experience |
| title_short | Aortobifemoral Bypass in Kidney Transplant Candidates: A Ten-Year Experience |
| title_sort | aortobifemoral bypass in kidney transplant candidates a ten year experience |
| topic | kidney transplantation vascular calcification vascular surgical procedures blood vessel prosthesis kidney |
| url | https://www.frontierspartnerships.org/articles/10.3389/ti.2024.12085/full |
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