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Management of peripheral vascular disease compromising renal allograft placement and function: review of the literature with an illustrative case
Author(s) -
Gill Roop,
Shapiro Ron,
Kayler Liise K.
Publication year - 2010
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/j.1399-0012.2010.01351.x
Subject(s) - medicine , revascularization , endarterectomy , surgery , vascular disease , peripheral , transplantation , renal function , disease , renal transplant , kidney disease , kidney transplantation , cardiology , carotid arteries , myocardial infarction
Gill R, Shapiro R, Kayler LK. Management of peripheral vascular disease compromising renal allograft placement and function: review of the literature with an illustrative case.
Clin Transplant 2011: 25: 337–344. © 2010 John Wiley & Sons A/S. Abstract: As the average age of a renal transplant candidate increases, the challenge of managing recipient vascular disease affecting renal allograft function will become more common. Pre‐operative screening can reveal the presence of atheromatous disease that could adversely affect allograft transplantation and function, but parameters for successful screening have not been established. Treatment options include pre‐operative revascularization, concurrent therapy or delayed revascularization. Endovascular therapies have burgeoned but surgical correction is still required for some of the more complex, long‐segment lesions. Potential surgical interventions range from endarterectomy to aorto‐iliac bypasses. We present a case of immediate post‐operative revascularization using a femoro‐femoral bypass to salvage a renal allograft. The literature is reviewed to assess best practices for detecting peripheral vascular disease in renal transplant candidates and subsequent management options.