Vascular anastomosis for paediatric renal transplantation and new strategy in lowweight children

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dc.contributor.authorGomes, Adriano Luis
dc.contributor.authorNogueira, Paulo Cesar Koch [UNIFESP]
dc.contributor.authorCarvalho de Camargo, Maria Fernanda
dc.contributor.authorFeltran, Luciana de Santis
dc.contributor.authorBaptista-Silva, José Carlos Costa [UNIFESP]
dc.contributor.institutionHosp Samaritano
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionHosp Rim & Hipertensao
dc.date.accessioned2016-01-24T14:37:24Z
dc.date.available2016-01-24T14:37:24Z
dc.date.issued2014-06-01
dc.description.abstractThe technical aspects of RT in low-weight children should be specific, particularly with regard to VA. This retrospective study assesses the main VA options in paediatric RTs and proposes a new strategy for renal artery trajectory when using the Ao and the right iVC. the sample included 81 patients and was categorized into a group of children weighing <16kg and the other group of children weighing 16kg or more. the smaller children received the graft predominantly on the Ao and iVC (63%); however, the VA options varied in children weighing more than 16kg, with anastomoses predominantly to the common iliac vessels (46%). in the first group, when the Ao was the selected vessel for anastomosis on the right side, the trajectory adopted for the transplanted kidney artery was posterior to the iVC. This strategy may reduce the risk of compression of the iVC by the renal artery of the donor kidney and may reconstitute the normal anatomy of the renal artery. Moreover, it did not represent a risk factor for graft loss in this sample.en
dc.description.affiliationHosp Samaritano, Paediat Renal Transplantat Grp, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, São Paulo, Brazil
dc.description.affiliationHosp Rim & Hipertensao, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Escola Paulista Med, Dept Surg, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Escola Paulista Med, Dept Surg, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent342-349
dc.identifierhttp://dx.doi.org/10.1111/petr.12248
dc.identifier.citationPediatric Transplantation. Hoboken: Wiley-Blackwell, v. 18, n. 4, p. 342-349, 2014.
dc.identifier.doi10.1111/petr.12248
dc.identifier.issn1397-3142
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/37849
dc.identifier.wosWOS:000335392700014
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.relation.ispartofPediatric Transplantation
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://olabout.wiley.com/WileyCDA/Section/id-406071.html
dc.subjectkidney transplantationen
dc.subjectpaediatricsen
dc.subjectsurgical anastomosisen
dc.subjecttechnical issuesen
dc.subjectpost-operative complicationsen
dc.titleVascular anastomosis for paediatric renal transplantation and new strategy in lowweight childrenen
dc.typeinfo:eu-repo/semantics/article
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