INCIDÊNCIA DE COMPLICAÇÕES VASCULARES EM TRANSPLANTE RENAL ENTRE 2013 E 2014 NA SANTA CASA DE MISERICÓRDIA DE GOIÂNIA

Abstract

Introduction: Even though kidney transplant represents a new perspective to individuals with chronical kidney disease due to its correlation with a better quality of life results and morbimortality indexes, the procedure itself is not free of risks. Vascular complications rates around the world varies from 1 – 23% and it is are also associated with a high risk of kidney graft losses. Objective: To evaluate the incidence of vascular complications among patients submitted to kidney transplant at Santa Casa de Misericórdia de Goiânia on a period of time between January 2013 to December 2014. Material and Methods: It was analyzed 35 files from patients submitted to kidney transplant at Santa Casa de Misericórdia de Goiânia on a period of time between January 2013 and December 2014. It was analyzed the following variables: renal artery stenosis, renal artery thrombosis, renal vein stenosis, renal vein thrombosis, renal artery pseudoaneurysm, arteriovenous fistula, renal artery kinking, kidney graft torsion and kidney infarction. It was also collected data for: kidney graft side, donator´s aspects (alive or deceased), receptor´s age, receptor´s gender, necessity for reintervention and cold ischemia time. Results: It was included 32 patients, 34,38% females and 65,62% males, with median age of 46 years old. Among all surgical complications it was found 3 events of urinary leakage (9,3%), 2 events of retroperitoneal abscess (6,25%), 1 event of kidney graft torsion (3,12%) and 1 event of arterial stenosis (3,12%). All kidney grafts came from deceased donators (100%) and there were no graft losses. Conclusion: Even though the following study had shown a low incidence of vascular complications related with kidney transplant, the TIF more than 24 hours was the only independent risk factor associated with this event.