MULTIPLE RENAL ARTERIES IN DECEASED DONOR RENAL TRANSPLANTATION- A CASE STUDY

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