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Incidence of Stenosis in Graft Renal Arteries Anastomosis in Kidney Transplantation Using Two Different Techniques
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Summary Kidney transplantation is widely performed nowadays as an optimal treatment of end stage kidney diseases. Complications such as stenosis in graft renal arteries anastomosis may occur. Different suturing techniques are available for renal artery anastomosis. We aimed to compare the incidence of renal artery stenosis of the transplanted kidney when two suture techniques (continuous or interrupted) used for renal artery anastomosis. Therefore, a retrospectively comparative study was conducted on 44 patients managed with kidney transplantation during the years 2009-2011. Patients assigned into two groups; first group included 20 patients namely, continuous suture group, and the second group included 24 patients in whom the allograft arteries were anastomosed with an interrupted suture technique. Post transplantation, the velocity of blood flow in the renal and iliac arteries at the site of anastomosis was assessed using color duplex ultrasonography for the presence of graft renal artery stenosis. In each group only one case developed We graft renal artery stenosis with no statistically significant difference in the incidence rate. In conclusion, No difference in the incidence of graft renal artery stenosis in different anastomosis techniques. Other factors such as gentle handling of tissue, enough spatulation, margin eversion, and comparable diameter of the anastomosed vessels may be more important in the prevention of renal allograft stenosis than the type of suture technique used.

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