Treatment of arteriovenous shunts after renal transplantation

Hidehisa Kitada, Atsushi Sugitani, Yasuhiro Okabe, Atsushi Doi, Yasunobu Nishioka, Takehiro Nishiki, Tadashi Kayashima, Reiko Tanabe, Masao Tanaka

研究成果: Contribution to journalArticle査読

1 被引用数 (Scopus)

抄録

Purpose: Immunosuppressive drugs have improved the results of renal transplantation dramatically in recent years; however, there is still no consensus on the treatment of arteriovenous (A-V) shunts after successful transplantation. We evaluated the treatment of A-V shunts after transplantation. Methods: We reviewed all patients who underwent shunt closure at our hospital between 2005 and 2007 assessing surgical methods, operative time, blood loss, and complications. Results: Fifty-two patients underwent shunt closure, as a simple transection in 5 patients, resection of the anastomotic site in 16, resection and reconstruction of the artery in 26, and graftectomy in 5. Graftectomy was associated with copious blood loss and a long operative time. The most frequent complication was phlebitis, but there were no nerve complications. Conclusions: An A-V shunt after renal transplantation may result in an aneurysm, severe venous dilatation, pain, bloating of the arm, infection, and cardiac problems. Thus, after successful transplantation, shunt closure should be performed to prevent these complications and to improve quality of life.

本文言語英語
ページ(範囲)310-313
ページ数4
ジャーナルSurgery today
39
4
DOI
出版ステータス出版済み - 4 2009

All Science Journal Classification (ASJC) codes

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