• 作者：L. Martí ; nez Carnovale^a ; ^{lmartinezc@santpau.cat} ; V. Artigas Raventó ; s^b ; S. Llagostera Pujol^c ; J. Dilmé ; Muñ ; oz^a ; S. Bellmunt Montoya^a ; J.R. Escudero Rodrí ; guez^a
• 关键词：Trasplante renal ; Filtrado glomerular ; Enfermedad aorto-ilí ; aca ; Cirugí ; a de revascularizació ; n
• 刊名：Angiolog铆a
• 出版年：2012
• 期刊代码：pca50_00033170
• 类别：med
• 出版时间：May-June, 2012
• 卷：64
• 期：3
• 页码：115-118
• 文件大小：158 K

Introduction

End-stage renal disease has become a worldwide public health problem related to the aging population, with the high prevalence of diabetes and hypertension, both conditions being risk factors for aortoiliac artery disease.

Objectives

To compare the course of renal function in transplant patients undergoing aorto-iliac artery surgery before or at the same time as the transplant compared to patients with no known pathology aorto-iliac disease at transplant in our centre.

Material and methods

A retrospective observational study was conducted from January 1994 until June 2010, on kidney transplant patients recruited and assigned to two groups; group 1 patients with any type of prior aorto-iliac surgery or performed at the time of renal transplant, and group 2 or control transplant patients with no known history of arterial disease. We studied the course of the glomerular filtration rate using the Modification of Diet in Renal Disease (MDRD-4) formula at 30 days, and at one year after transplant, and evaluated the mortality at one year.

Results

A total of 17 patients were included in group 1, and 43 patients in group 2. The mean MDRD-4 at 30 days in group 1 was 28.7 ml/min/1.73m2, and in group 2 it was 37.7 ml/min/1.73 m 3. The mean MDRD-4 a one year in group 1 was 36.3 mL/min/1.73 m2 and in group 2 it was 46.1 mL/min/1.73 m2, with no statistically significant differences being found. There were no significant differences in mortality.

Conclusions

The course of glomerular filtration rate in renal transplant patients, in our centre was not affected by the presence of prior aorto-iliac arterial surgery performed before or at the same time as kidney transplant.