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[Transplantectomy today: indications and complications]
L Riera Canals1, E Franco Miranda, M A López Costea
1Servicio de Urología, Ciudad Sanitaria de Bellvitge, Hospital Prínceps d'Espanya, L'Hospitalet de Llobregat, Barcelona.
Actas Urologicas Espanolas
|September 1, 1993
Summary
Transplantectomy, the removal of a failed graft, occurred in 33.3% of cases. Maintaining immunosuppression and considering embolization can reduce transplantectomy rates and complications.
Area of Science:
- Nephrology
- Transplant Surgery
Context:
- Graft failure necessitates graft removal (transplantectomy) in a significant percentage of cases.
- Complications following transplantectomy can be substantial, impacting patient outcomes.
Purpose:
- To analyze the indications for transplantectomy and its associated complications over a 12-year period.
- To evaluate the effectiveness of immunosuppression and alternative treatments like embolization in managing graft failure.
Summary:
- Out of 159 failed grafts, 53 (33.3%) underwent transplantectomy, with a 16.9% complication rate and 5.6% mortality.
- Delayed transplantectomies (after 6 months) were less frequent (14.4%).
- Embolization of rejected grafts showed promise as a conservative alternative to surgical transplantectomy.
Impact:
- Consistent immunosuppression may significantly reduce the need for transplantectomy.
- Embolization represents a viable, less invasive option for selected cases of graft rejection, potentially improving patient management and outcomes.