Procurement and Transplantation of Abdominal Organs in Clinical Practice by Rafael Díaz-Nieto

Author:Rafael Díaz-Nieto
Language: eng
Format: epub, pdf
ISBN: 9783030213701
Publisher: Springer International Publishing

2.3.4.3 Venous Complications

Venous thrombosis is relatively rare but a clinically devastating post-operative complication (2.9% in one study of 103 renal transplants (41), with rates ranging from 0.5% to 4%. It should be considered in the presence of acute severe suprapubic swelling or sudden onset frank haematuria and is most common within the first 30 days post-operatively. Even though there are many intrinsic causes of thrombosis, it is more likely that in the immediate post-operative setting the cause is due to kinking of the renal vein or the onset of sustained hypotension. Of note, numerous retrospective studies have found that intraoperative heparin did not reduce the incidence of graft thrombosis. Despite some solitary case reports of thrombolysis, the usual treatment of choice is graft salvage with a reoperation and thrombectomy and most likely graft nephrectomy. The choice of anticoagulation post -operatively will be balanced against the risk of bleeding or collections, but it is the authors experience that haematomas and collections are easier to manage than thrombotic episodes.

Download

Copyright Disclaimer:
This site does not store any files on its server. We only index and link to content provided by other sites. Please contact the content providers to delete copyright contents if any and email us, we'll remove relevant links or contents immediately.