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SERIOUS ARTERIAL COMPLICATIONS FOLLOWING REMOVAL OF FAILED RENAL ALLOGRAFTS
Author(s) -
Payne J. E.,
Storey B. G.,
Rogers J. H.,
May J.,
Sheil A. G. R.
Publication year - 1971
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1971.tb87555.x
Subject(s) - medicine , surgery , dialysis , nephrectomy , kidney transplantation , transplantation , bilateral nephrectomy , kidney
The prognosis for patients with failed renal allografts is poor (First Report of the Australian National Dialysis and Renal Transplant Survey). For survival, allograft nephrectomy must be undertaken and the patient returned to repeated hæmodialysis. Removal of the failed kidney has usually to be undertaken when the patient is uræmic, weakened by prolonged hospitalization and susceptible to infective complications because of immunosuppressive therapy. We report here serious vascular complications which can contribute to morbidity and mortality following allograft removal. Such complications occurred in three cases, two of which were fatal as a direct consequence of hæmorrhage. The three patients were drawn from 21 from whom failed allografts were removed in a series of 150 transplantation operations. Brief case histories of each of the three patients are presented.