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Percutaneous interventions in adults receiving pediatric “en bloc” double renal grafts

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Abstract

Purpose

To present technical adaptations of percutaneous interventional techniques required for the small size vessels and ureters of “en bloc” transplanted pediatric kidneys.

Methods

Over a 4-year period, 12 adult patients received en bloc pediatric double renal transplants. Small system percutaneous interventional techniques were used in seven patients to approach the infantile renal arteries and urinary collecting systems for 11 percutaneous transluminal renal angioplasties, 4 antegrade pyelograms, and 3 nephrostomies.

Results

Prior to intervention, these patients averaged a creatinine of 2.5 mg%, which decreased to 1.4 mg% at 46 months (range, 22–68) following the first intervention. With a mean follow-up of 42 months (range, 5–47), 9 of 12 (75%) transplants are functioning with an average serum creatinine of 1.3 mg%.

Conclusion

With the assistance of percutaneous management of postoperative arterial and ureteral lesions, the prognosis of en bloc renal grafts can approach that of the standard adult renal allograft.

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Authors and Affiliations

  1. Department of Diagnostic Radiology and Nuclear Medicine, Rush-Presbyterian-St. Luke's Medical Center, 1653 West Congress Parkway, 60612, Chicago, IL, USA

    Michael C. Brunner, Terence A. S. Matalon, Suresh K. Patel, Donatas A. Siliunas & Virginia McDonald

  2. Department of Surgery, Rush-Presbyterian-St. Luke's Medical Center, 1653 West Congress Parkway, 60612, Chicago, IL, USA

    Frederick K. Merkel

Authors
  1. Michael C. Brunner
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  2. Terence A. S. Matalon
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  3. Suresh K. Patel
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  4. Donatas A. Siliunas
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  5. Virginia McDonald
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  6. Frederick K. Merkel
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Brunner, M.C., Matalon, T.A.S., Patel, S.K. et al. Percutaneous interventions in adults receiving pediatric “en bloc” double renal grafts. Cardiovasc Intervent Radiol 18, 291–295 (1995). https://doi.org/10.1007/BF00203678

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