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Aortoiliac Reconstruction and Kidney Transplantation: A Multicenter Study Paul Pittaluga, MD, Re ´da Hassen-Khodja, MD, Elisabeth Cassuto-Viguier, MD, Michel Batt, MD, Serge Declemy, MD, Herve ´ Bariseel, MD, Jacques Toubol, MD, and Pierre Le Bas, MD, Nice, France The occurrence of aortoiliac lesions with renal transplantation is an increasingly common com- bination that causes problems regarding operative strategy and indications for aortoiliac recon- struction and renal transplantation. To gain greater insight into these problems we undertook a retrospective multicenter study based on data from 24 kidney transplantation centers in France. A total of 83 patients who underwent both aortoiliac reconstruction and kidney transplantation were enrolled. Patients were divided into two groups according to the order in which the two procedures were performed. Group I included 36 patients in whom aortoiliac reconstruction was performed before kidney transplantation—either during the same procedure (6 patients) or as separate procedures (30 patients). Group II included 47 patients in whom aortoiliac reconstruc- tion was performed after kidney transplantation. The mean age was 49.9 years. There were 43 abdominal aortic aneurysms (51.8%), 36 occlusive aortoiliac lesions (43.4%), and 4 aortoiliac dissections (4.8%). Prosthetic bypass grafting was performed in 72 cases (86.8%), transluminal angioplasty in 6
Annals of Vascular Surgery – Springer Journals
Published: Jan 30, 2014
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