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NDT Advance Access published online on January 8, 2007
Nephrology Dialysis Transplantation, doi:10.1093/ndt/gfl782
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© The Author [2007]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Renal vessel reconstruction in kidney transplantation using polytetrafluoroethylene (PTFE) vascular graft

Mohamed H. Kamel, Anil A. Thomas, Ponnusamy Mohan and David P. Hickey

Department of Transplantation Surgery, Beaumont Hospital, Beaumont road, Dublin, Ireland

Correspondence and offprint requests to: Mohamed H. Kamel, MD, FRCSI, FEBU, Fellow in Transplantation, Department of Transplantation Surgery, Beaumont Hospital, Dublin 9, Ireland. Email: kamel.mh{at}gmail.com



  Abstract

Background. We report a rare experience in reconstructing short renal vessels in kidney transplantation using polytetrafluroethylene (PTFE) vascular grafts.

Methods. The short renal vessels in three kidney grafts were managed by the interposition of PTFE vascular grafts. Two grafts were from deceased donors and the third was a renal auto-transplant graft.

Results. PTFE grafts were used to lengthen short renal veins in two kidney grafts and a short renal artery in one. The warm ischaemia time was under 1 h and all kidneys functioned well post-operatively. Excellent blood perfusion in the three renal grafts was present on postoperative MAG 3 renal scan. No intra-operative or post-operative complications were encountered.

Conclusions. In the three described patients, the use of PTFE vascular graft presented no additional morbidity to the kidney transplant operation and no post-oerative complication was related to its use. However, more data are necessary to conclude that PTFE graft can be used safely in kidney transplantation.

Keywords: kidney transplantation; PTFE graft; vascular injury


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