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Master Thesis

Les complications vasculaires de la transplantation rénale. Résultats sur 3 ans au Centre-Hospitalo-Universitaire de La Réunion

Abstract : Vascular complications after renal transplantation are rare but serious and likely to cause renal graft dysfunction and failure. In this review we present our experience and analysis of the outcome of such complications in a series of 178 renal transplantations. One hundred and seventy-eight consecutive renal transplantations were performed in the period from March 2017 to March 2020 in the kidney transplant center of Reunion Island at Saint-Denis. Charts were reviewed and evaluated retrospectively for vascular complications. Vascular complications were found in 17 patients (9.6%). Most common among these were transplant renal artery stenosis found in 7, transplant renal artery thrombosis in 3, iliac vein stenosis in 1, and transplant renal vein thrombosis in 5 patients. Among complicated patients, 5 had grafts with multiple renal vessels, none had a graft with pre-existing vascular lesions nor had aorto-iliac occlusive disease prior to the transplantation, and 4 had perioperative complications including 1 hemorrhage and 3 arterial kinking. Overall, due to vascular complications, there was 1 graft loss (0.6%), 1 patient had kidney explantation after failed transplant (0.6%), 10 patients (5.6%) underwent second surgery, and perioperative and overall mortality was zero over a maximum follow-up of 3 years.The incidence of vascular complications post renal transplantation in our center is similar to the literature’s reported results. In our experience, the onset of such vascular complications did not impact the long-term renal function post-transplant nor the overall mortality. Overweight and female gender are the main risk factors for vascular complications in our series.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03462696
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Submitted on : Thursday, December 2, 2021 - 7:43:12 AM
Last modification on : Saturday, December 11, 2021 - 3:32:44 AM
Long-term archiving on: : Thursday, March 3, 2022 - 6:34:24 PM

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Lilia Mahjoubi. Les complications vasculaires de la transplantation rénale. Résultats sur 3 ans au Centre-Hospitalo-Universitaire de La Réunion. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03462696⟩

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