Inverted kidney transplantation in patients with iliac atherosclerosis: Experiences from three cases and literature review
Abstract
Kidney transplantation (KT) provided the best outcomes for patients with end-stage renal disease. Inverted kidney transplantation in which the renal pelvis orientation is reversed upward, is a technique initially used for right kidney transplants with short renal veins placed into the right iliac fossa. Consequently, the use of inverted KT was limited to cases of severe iliac atherosclerosis. This study evaluates the outcomes of inverted KT in patients with iliac atherosclerosis. We retrospectively analyzed three patients who underwent inverted KT from living donors at Viet Duc University Hospital due to iliac atherosclerosis. We performed the vessel anastomoses at the non-atherosclerotic segment of the external iliac artery. All three patients recovered well without complications and were discharged after two weeks. This study demonstrates the feasibility and safety of inverted KT in patients with iliac atherosclerosis, providing an alternative approach when conventional vascular anastomosis is challenging.
Keywords:
inverted kidney transplant, iliac atherosclerosis, case report
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