Cover Image




MULTIPLE RENAL ARTERIES IN DECEASED DONOR RENAL TRANSPLANTATION- a case study  BACKGROUND The use of multiple renal arteries in renal transplantation poses a great challenge to any transplant surgeon. The presence of multiple renal arteries was    considered a relative contraindication for renal transplantation surgery due to associated urological and vascular  complications. But with the available expertise nowadays it not considered to be an important constraint.METHODS In our study we analyzed 2 cases of cadaveric donor with  multiple renal arteries which were transplanted to end stage renal disease patients between October 2014 and January 2015 in the department of urology, Stanley medical college, Chennai. We analysed the patient and graft survival,  incidence of post-operative acute tubular necrosis,  post-operative creatinine levels and incidence of vascular and urological complications. RESULTS We found that there were no significant episodes of acute rejection or acute tubular necrosis. Creatinine levels reached normal levels within a month. Furthermore, patient and graft survival were also good.CONCLUSION The presence of vascular anomaly in the graft and their complexity of repair do not represent a     theoretical disadvantage in deceased donor renal   transplantation. To maximize the quality of end stage renal disease patients even vascular anomaly grafts can be utilized  ithout much difference in the outcome

Full Text:



Alfrey EJ, Boissy AR, Lerner SM. Dual kidney transplants: long-term results. Transplantation 75:1232–1236, 2003.

Cecka JM. The OPTN/UNOS Renal Transplant Registry 2003. Clin Transplant 1–12, 2003.

Goldfarb DA, Matin SF, Braun WE, et al. Renal outcome 25 years after donor nephrectomy. J Urol 166:2043–2047, 2001.

Hobart MG, Modlin CS, Kapoor A, et al. Transplantation of pediatric en bloc cadaver kidneys into adult recipients. Transplantation 66:1689–1694, 1998.

Lin CH, Steinberg AP, Ramani AP, et al. Laparoscopic live donor nephrectomy in the presence of circumaortic or retroaortic left renal vein. J Urol 171:44–46, 2004.

Modin CS, Goldfarb DA, Novick AC. The use of expanded criteria cadaver and live donor kidneys

for transplantation. Urol Clin North Am 28:687–707,2001.

Modin C, Novick AC, Goormastic M, Hodge E, Mastrioanni B, Myles J. Long-term results with single pediatric donor kidney transplants in adult recipients. J Urol 890–895, 1996.

Ng CS, Abreu SC, Abou El-Fettouh HI, et al. Right retroperitoneal versus left transperitoneal laparoscopic live donor nephrectomy. Urology 63:857–861, 2004.

Patel P, Krishnamurthi V. Successful use of the inferior mesenteric vein for renal transplantation. An J Transplant 3:1040–1042, 2003.

Akbar SA, Jafri SZ, Amendola MA, et al: Complications of renal transplantation. Radiographics 25:1335-1356, 2005.

Allen RD, Michie CA, Murie JA, et al: Deep venous thrombosis after renal transplantation. Surg Gynecol Obstet 164:137-142, 1987.

Andrassy J, Zeier M, Andrassy K: Do we need screening for thrombophilia prior to kidney transplantation? Nephrol Dial Transplant 19(Suppl 4):iv-64-iv-68, 2004.

Arrazola L, Sutherland DE, Sozen H, et al: May-Thurner syndrome in renal transplantation. Transplantation 71:698-702, 2001.

Atray NK,Moore F, Zaman F, et al: Post transplant lymphocele: a single centre experience. Clin Transplant 18(Suppl 12):46-49, 2004.

Audard V, Matignon M, Hemery F, et al: Risk factors and long-term outcome of transplant renal artery stenosis in adult recipients after treatment by percutaneous transluminal angioplasty. Am J Transplant 6:95-99, 2006.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University