Therapeutic regimen of septic vascular complications in kidney grafting
Buchholz, B.; Zastrow, F.; Valenzuela, A.; Wolters, C.; Lison, A.E.
Scandinavian Journal of Urology and Nephrology. Supplementum 92: 71-73
1985
ISSN/ISBN: 0300-8886 PMID: 3914066 Document Number: 242618
In spite of highly sophisticated tissue matching reducing immunogenicity of a graft a high degree of immunosuppression is mandatory to achieve good graft survival. Septic complications such as a rupture of an anastomosis threaten the recipients life. Thorough donor selection, strict asepsis, as well as repeated bacteriologic examination gives the chance to decrease morbidity and mortality of kidney grafting. In the retrospective analysis of 135 kidney transplantations septic vascular complications occurred in 3.7%. The surgical procedure of choice after graft removal is the ligation of the external iliac artery. Only in one out of four cases ischemia of the lower extremity had to be treated by an extra-anatomic femoro-femoral bypass.