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Maximizing Nephron Mass in Horseshoe Kidney Transplantation Using Inferior Epigastric Artery: Case Report
Florin-Ioan Elec1, Andreea Zaharie2, Ionuţ-Lucian Vintilă1
1Clinical Institute of Urology and Renal Transplantation, Cluj-Napoca, Romania.
Urologia Internationalis
|June 7, 2018
Summary
Transplanting split horseshoe kidneys is possible using the inferior epigastric artery to supply the isthmus. This technique preserves functional kidney tissue, improving long-term transplant outcomes.
Area of Science:
- Urology
- Transplant Surgery
- Nephrology
Background:
- Donor kidney shortage necessitates utilizing organs with congenital anomalies.
- Horseshoe kidneys, a common congenital anomaly, present unique challenges in transplantation.
- Split horseshoe kidneys require careful surgical planning to maximize graft viability.
Observation:
- A deceased donor split horseshoe kidney was successfully transplanted.
- The inferior epigastric artery was utilized for arterial anastomosis to perfuse the isthmus.
- This approach avoided ligation of a significant portion of the renal artery.
Findings:
- Successful reperfusion and viability of the transplanted split horseshoe kidney were achieved.
- Preservation of functional parenchyma was maximized by perfusing the isthmus via the inferior epigastric artery.
- This technique effectively reduced the loss of nephron mass in the graft.
Implications:
- The inferior epigastric artery is a viable option for perfusing the isthmus of split horseshoe kidneys.
- This surgical strategy can enhance the utility of anomalous kidneys for transplantation.
- Improved long-term graft outcomes are anticipated by preserving nephron mass.
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