계명대학교 의학도서관 Repository

장골동맥 내막절제술을 동시에 시행한 신이식 수혜자의 이식성적

Metadata Downloads
Author(s)
이건우조원현김형태박준모박철희박성배김현철이진희우성구
Keimyung Author(s)
Cho, Won HyunKim, Hyoung TaePark, Choal HeePark, Sung BaeKim, Hyun ChulWoo, Seong Ku
Department
Dept. of Surgery (외과학)
Dept. of Urology (비뇨의학)
Dept. of Internal Medicine (내과학)
Dept. of Radiology (영상의학)
Journal Title
대한이식학회지
Issued Date
2001
Volume
15
Issue
2
Abstract
Purpose: Pretransplant peripheral vascular examination in renal transplant recipient is not common even though the uremic status is a risk factor of developing atherscierosis. Since that kind of atherosclerotic stenosis is inadequate for renal artery anastomosis, surgeons should perform certain procedures in that area. Until now, we have no written report about the results of renal transplant recipient who have been done endarterectomy at anastomosing iliac artery. The aim of this paper is to review the results of renal allograft recepient whose anastomosed iliac artery is endarterectomized at the time of transplantation. Methods: Among 161 living donor renal allografts which were performed between January 1993 through June 1998, 21 allografts needed recipient iliac artery endarterectomy before vascular anastomosis. Their graft survivals, serial changes of blood pressure, serum creatinine level, and ultrasonic measure of renal arterial diameter and peak systolic velocity with their wave patterns were compared between endarterectomy group and non-endarterectomy group (control group). Mean age of endarterectomy group was older than control group (45.4 vs 32.9). Endarterectomy was done at internal iliac artery in 18 patients and both common and external iliac arteries in 3 patients. Results: One and 3 year graft survivals showed higher in endarterectomy group than control group (90.9% vs 82.3%). Uncontrolled hypertension of endarterectomy group was 6.3%, 11.5%, 27.3% in 12,24, 36 months and that of control group was 18.9%, 23.6%, 25.1%, but there was no statistical significance between groups. Serial changes of serum creatinine level of endarterectomy group was maintained low until the end of 3 years compare to control group (1.2 + 0.9 mg/ml vs 1.9 + 1.1). There was no difference between groups in peak systolic velocity and wave pattern proximal and distal to the anastomotic site of renal artery, and also no difference in measured arterial diameter and resistance index. Conclusion: Endarterectomy of recipient iliac artery before transplant renal vascular anastomosis show no adverse effect on recipient blood pressure, renal allograft function, graft survival and renal artery restenosis at least up to 3 years after graft.
Alternative Title
Results of Renal Allograft in Recipient with Iliac Endartefectomy
Keimyung Author(s)(Kor)
조원현
김형태
박철희
박성배
김현철
우성구
Publisher
School of Medicine
Citation
이건우 et al. (2001). 장골동맥 내막절제술을 동시에 시행한 신이식 수혜자의 이식성적. 대한이식학회지, 15(2), 165–171.
Type
Article
ISSN
1598-1711
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38434
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

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