allopurinol and Renal-Artery-Obstruction

Two non-randomized groups of 100 kidney transplants each were compared in relation to the flush-out solution used. The two groups were similar with the exceptions of the number of multiple artery kidneys and the proportion of kidneys procured in our center. The rate of vascular complications such as arterial venous thrombosis and renal artery stenosis was higher in the Eurocollins (19) group than in the UW group (4) p < 0.01, even if the multiple artery kidneys are excluded. These results need to be confirmed by a randomized study but it is clear that the use of the UW solution leads to a better arterial flow with fewer vascular complications.

Topics: Adenosine; Adult; Allopurinol; Glutathione; Humans; Hypertonic Solutions; Insulin; Kidney Transplantation; Organ Preservation; Organ Preservation Solutions; Raffinose; Renal Artery Obstruction; Renal Veins; Thrombosis

Topics: Adenosine; Allopurinol; Glutathione; Humans; Hypertonic Solutions; Insulin; Kidney; Kidney Transplantation; Organ Preservation; Organ Preservation Solutions; Raffinose; Renal Artery Obstruction; Solutions

Poor back-table perfusion of a renal allograft may occur as a result of intravascular thrombosis of the renal artery branches. We herein report such a case where back-table angioscopy was performed to confirm the diagnosis, followed by successful thrombolysis using urokinase under hypothermic conditions.

Topics: Adenosine; Allopurinol; Angioscopy; Glutathione; Humans; Insulin; Kidney Transplantation; Male; Middle Aged; Organ Preservation Solutions; Raffinose; Renal Artery Obstruction; Streptokinase; Thrombolytic Therapy; Thrombosis; Transplantation, Homologous

Topics: Allopurinol; Animals; Aspartate Aminotransferases; Autopsy; Blood Urea Nitrogen; Creatinine; Dogs; Female; Hypoxia; Ischemia; Kidney; L-Lactate Dehydrogenase; Male; Nephrectomy; Radiography; Renal Artery Obstruction; Time Factors; Uric Acid