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[Angioscopy associated with renal transplantation]
F J Burgos Revilla1, V Gómez Dosantos, J Pascual Santos
1Servicio de Urología, Hospital Ramón y Cajal, Madrid.
Objectives:
To evaluate the usefulness of backtable angioscopy of renal allograft previously to kidney transplantation (KT).
Methods:
Twenty five allografts from high risk vascular donors have been angioscopically evaluated. Donors were older than 50 years, with severe aortic atheromatosis, polytraumatized, with cardiac arrest or with vascular lesions or anatomic anomalies of the renal vessels.
Results:
Forty four per cent (11/25) of the grafts showed vascular pathology on angioscopy: subintimal hematoma (2), intimal tear (2), atheroma plaques (2), venous thrombosis (1) and bench microsurgical vascular reconstruction (4).
Conclusion:
Renal allograft angioscopy is useful in selected cases. It allows to evaluate vascular state of the graft and the quality of microsurgical vascular reconstructions.