Please use this identifier to cite or link to this item:
Title: Outcome of Living Donor Transplant Kidneys With Multiple Arteries
Authors: Lim, YMJ
Han, X
Raman, L
Ng, TK
Goh, THA
Vathsala, A 
Tiong, HY
Keywords: Science & Technology
Life Sciences & Biomedicine
Issue Date: 1-Apr-2016
Citation: Lim, YMJ, Han, X, Raman, L, Ng, TK, Goh, THA, Vathsala, A, Tiong, HY (2016-04-01). Outcome of Living Donor Transplant Kidneys With Multiple Arteries. TRANSPLANTATION PROCEEDINGS 48 (3) : 848-851. ScholarBank@NUS Repository.
Abstract: Background Living donor transplantation (LDT) using kidneys with multiple arteries (MA) has previously been reported to be associated with increased complications and poorer outcomes in recipients. The objective of this study was to investigate outcomes of LDT with MA at the National University Hospital of Singapore, an institution with modest kidney transplant volumes. Methods From 2007 to 2014, a total of 109 consecutive living donor kidney transplantations were performed. Of the nephrectomies, 91% were left sided. A total of 19 cases involved MA, of which 7 with small polar vessels (<2 mm) were ligated and 12 were revascularized. Baseline characteristics and outcomes were comparable between donor-recipient pairs with MA and single artery (SA). Both groups had equivalent induction and maintenance immunosuppressive regimens. Results Mean warm ischemia time (minutes) was similar for kidneys with MA and SA (4.3 ± 3.2 vs 3.9 ± 3.2, P =.38). Operative time (minutes) in the recipients was also equivalent (P >.05) for MA and SA (158 ± 39.2 and 145 ± 57.2, respectively). The MA kidney recipients had a lower estimated glomerular filtration rate (eGFR) on postoperative day 5 compared to SA (56.6 ± 24.2 vs 74.1 ± 35.9 mL/min/1.73 m2, P =.058). However, eGFR at 1 year was the similar for both groups (64.9 ± 16.2 vs 66.4 ± 18.1 mL/min/1.73 m2, respectively, P =.76). Delayed graft function rates were 5.6% and 6.6% for MA and SA, respectively (P =.9). There were no surgical complications for LDT recipients within the MA group. Patient and graft survival was 100% in the MA group compared with 98% in the SA group (P >.05). Conclusions With current surgical techniques, LDT with MA can achieve equally good functional outcomes at 1 year as SA kidneys, with minimal surgical complications.
ISSN: 00411345
DOI: 10.1016/j.transproceed.2015.12.104
Appears in Collections:Staff Publications

Show full item record
Files in This Item:
File Description SizeFormatAccess SettingsVersion 
Tx Proc-Outcome of Living Donor Transplant Kidneys With Multiple Arteries.pdf405.43 kBAdobe PDF



Google ScholarTM



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.