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10.1371/journal.pone.0199629 http://scihub22266oqcxt.onion/10.1371/journal.pone.0199629 C6040747!6040747 !29995911     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29995911 &cmd=llinks): Failed to open stream: HTTP request failed! 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Inferior long-term graft survival after end-to-side reconstruction for two renal arteries in living donor renal transplantation |pdf=|usr=}}{{29995911 }} gab.com Text Inferior long-term graft survival after end-to-side reconstruction for two renal arteries in living donor renal transplantation JO: PLoS One http://www.kidney.de/pget.php?&tw=1&pmid=29995911 #FOAvip Living donor kidneys with two arteries can be revascularized using various techniques depending on anatomy. We hypothesized that the revascularization technique could impact long-term outcomes. We retrospectively analyzed 1714 living donor renal transplants at our institution between 1999 and 2015. Three hundred and eleven kidneys had dual arteries, and these were categorized into 5 groups; end-to-side (n = 18), inferior epigastric artery (n = 21), direct anastomosis (n = 65), side-to-side (n = 126) and ligated (n = 81). We then compared the outcomes with that of a control group (single artery, n = 1403) using Kaplan-Meier and Cox regression analyses. Cox regression was adjusted by age, sex and race/ethnicity of donor and recipient, side of kidney, transplant period and recipient surgeon. Compared to the control group, the end-to-side group had increased all-cause graft loss (10 years: 77.2% vs 24.5%, adjusted hazard ratio [aHR] 3.02, 95% confidence interval [CI] 1.30-7.03, p = 0.010) and death-censored graft loss (10 years: 82.0% vs 55.9%, aHR 4.17, 95% CI 1.63-10.68, p = 0.003), whereas the other groups did not. Our study shows that 10-year overall survival and death-censored graft survival were significantly worse for end-to-side arterial reconstruction than for other techniques. Alternative techniques to the end-to-side method should be used for accessory arteries that require revascularization. Twit Text FOAVip Inferior long-term graft survival after end-to-side reconstruction for two renal arteries in living donor renal transplantation ????PLoS One http://www.kidney.de/pget.php?&tw=1&pmid=29995911 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29995911 #FOAvip English Wikipedia <ref>{{Cite pmid|29995911 }}</ref> Inferior long-term graft survival after end-to-side reconstruction for two renal arteries in living donor renal transplantation #MMPMID29995911 Yamanaga S ; Rosario A ; Fernandez D ; Kobayashi T ; Tavakol M ; Stock PG ; Kang SM PLoS One 2018[]; 13 (7 ): e0199629 PMID29995911 show ga Living donor kidneys with two arteries can be revascularized using various techniques depending on anatomy. We hypothesized that the revascularization technique could impact long-term outcomes. We retrospectively analyzed 1714 living donor renal transplants at our institution between 1999 and 2015. Three hundred and eleven kidneys had dual arteries, and these were categorized into 5 groups; end-to-side (n = 18), inferior epigastric artery (n = 21), direct anastomosis (n = 65), side-to-side (n = 126) and ligated (n = 81). We then compared the outcomes with that of a control group (single artery, n = 1403) using Kaplan-Meier and Cox regression analyses. Cox regression was adjusted by age, sex and race/ethnicity of donor and recipient, side of kidney, transplant period and recipient surgeon. Compared to the control group, the end-to-side group had increased all-cause graft loss (10 years: 77.2% vs 24.5%, adjusted hazard ratio [aHR] 3.02, 95% confidence interval [CI] 1.30-7.03, p = 0.010) and death-censored graft loss (10 years: 82.0% vs 55.9%, aHR 4.17, 95% CI 1.63-10.68, p = 0.003), whereas the other groups did not. Our study shows that 10-year overall survival and death-censored graft survival were significantly worse for end-to-side arterial reconstruction than for other techniques. Alternative techniques to the end-to-side method should be used for accessory arteries that require revascularization. |*Graft Survival [MESH] |*Kidney Transplantation/adverse effects [MESH] |*Living Donors [MESH] |*Renal Artery/surgery [MESH] |Adult [MESH] |Female [MESH] |Humans [MESH] |Kaplan-Meier Estimate [MESH] |Male [MESH] |Middle Aged [MESH] |Retrospective Studies [MESH] |Risk Assessment [MESH]Inferior long-term graft survival after end-to-side reconstruction for(epmc).pdf DeepDyve Pubget Overpricing