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Can remote endarterectomy expand access to kidney transplantation in patients with severe iliac calcification?

Mary S Lin1, Amber Carrier1, Shahab Toursavadkohi1

  • 1University of Maryland Medical Center, Baltimore, Maryland, USA.

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
|September 23, 2022
PubMed

Insights

Severe iliac artery calcification hinders kidney transplant access for end-stage renal disease patients. A novel remote endarterectomy technique successfully treated iliac arteries, enabling transplant listing and successful kidney transplants.

Area of Science:

  • Vascular Surgery
  • Nephrology
  • Transplant Surgery

Background:

  • Severe iliac artery calcification is a significant obstacle for patients with end-stage renal disease (ESRD) seeking kidney transplantation.
  • Limited surgical options exist to address extensive iliac calcification, impacting transplant eligibility.

Observation:

  • This study presents a novel application of remote endarterectomy for treating severe external iliac artery calcification.
  • Two cases are detailed where this technique was employed to overcome transplant barriers.

Findings:

  • Remote endarterectomy successfully treated severe iliac artery calcification in both ESRD patients.
  • Following the procedure, both patients were successfully listed for kidney transplantation.

Implications:

  • This innovative surgical approach may improve access to kidney transplantation for a broader range of ESRD patients.
  • Successful renal transplants were achieved using the treated iliac vessels, highlighting the efficacy of the intervention.

Keywords:
clinical research/practicekidney transplantation/nephrologyminimally invasive surgerysolid organ transplantationvascularized composite and reconstructive transplantationvasculopathywaitlist management

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