INFLUENCE OF VARIANT VASCULAR ANATOMY OF THE GRAFT ON THE OUTCOMES OF KIDNEY TRANSPLANTATION

The most promising method of treating patients with end-stage chronic kidney disease is kidney transplantation. Variant vascular anatomy of the graft is an important factor affecting the results of this operation. The absence of the blood flow in one or more additional renal arteries can worsen graft perfusion. The presence of additional renal vessels can lead to difficulties with intraoperative selection of the graft position, its rotation and torsion of the renal vessels. Prolonged secondary warm ischemia time can potentially complicate the course of the immediate postoperative period. The aim of the study was to analyze the results of kidney transplantation in the presence of variant vascular anatomy described in the literature as well as to assess its impact on outcomes.