VASCULAR COMPLICATIONS OF THE EARLY POSTOPERATIVE PERIOD IN PATIENTS AFTER KIDNEY TRANSPLANTATION

Objective is to improve the results of treatment of patients after kidney transplantation by reducing the frequency of vascular complications and associated kidney transplant loss.Material and methods. From October 1996 to August 2021, 483 kidney transplantations were performed at the Surgical department No. 3 (organ transplantation and donation center) of the G.G. Kuvatov RCH, of which 401 (83%) cadaveric and 82 (17%) living related donors.Results and conclusions. Vascular complications were observed in 18 (3.7%) patients, the most common were thrombosis as a result of an acute crisis of graft rejection. Of these, 13 (2.6%) patients had a crisis stopped conservatively. In the remaining 5 (1.1%) patients, the acute rejection crisis was complicated by thrombosis, which led to the loss of a kidney transplant: 1 case led to rupture of a kidney transplant; 4 cases were due to thrombosis of the renal artery (2) and vein (2).Conclusions. Thus, careful selection of a donor-recipient, early diagnosis and adequate treatment of an acute rejection crisis in the postoperative period can prevent vascular complications and loss of a kidney transplant.

transplantation, kidney transplantation, vascular complications, thrombosis

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