{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:56:39Z","timestamp":1785372999801,"version":"3.55.0"},"reference-count":42,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,6,19]],"date-time":"2018-06-19T00:00:00Z","timestamp":1529366400000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Deceased donor (<jats:styled-content style=\"fixed-case\">DD<\/jats:styled-content>) kidneys exhibiting severe atherosclerosis involving the renal artery (<jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content>) may represent a contraindication to kidney transplantation (<jats:styled-content style=\"fixed-case\">KT<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eversion endarterectomy (<jats:styled-content style=\"fixed-case\">EE<\/jats:styled-content>) was performed as a salvage procedure to permit <jats:styled-content style=\"fixed-case\">KT<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 17 cases (1.2% of all <jats:styled-content style=\"fixed-case\">DD KT<\/jats:styled-content>s during the study period) involving <jats:styled-content style=\"fixed-case\">EE<\/jats:styled-content> of the <jats:styled-content style=\"fixed-case\">DD RA<\/jats:styled-content>. Thirteen (76.5%) kidneys were imported, and mean Kidney Donor Profile Index (<jats:styled-content style=\"fixed-case\">KDPI<\/jats:styled-content>) was 81%. Mean <jats:styled-content style=\"fixed-case\">DD<\/jats:styled-content> age was 59\u00a0years, mean <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content> plaque length was 1.7\u00a0cm, and mean glomerulosclerosis on biopsy was 10%. Mean recipient age was 64\u00a0years, and dialysis vintage was 32\u00a0months. With a mean follow\u2010up of 36\u00a0months, actual patient and graft survival rates were both 76.5%. One patient died early without a technical problem. Of the remaining 16 patients, 2\u2010year patient and graft survival rates were both 100%. There were no early or late vascular complications. The incidence of delayed graft function was 35%. Mean serum creatinine and <jats:styled-content style=\"fixed-case\">GFR<\/jats:styled-content> levels in patients with functioning grafts at latest follow\u2010up were 1.8\u00a0mg\/dL and 40\u00a0mL\/min, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">EE<\/jats:styled-content> appears to be a safe and under\u2010utilized procedure that may prevent discard of marginal donor kidneys and is associated with acceptable short\u2010term outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.13275","type":"journal-article","created":{"date-parts":[[2018,5,9]],"date-time":"2018-05-09T06:24:13Z","timestamp":1525847053000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Eversion endarterectomy of the deceased donor renal artery to prevent kidney discard"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7511-6556","authenticated-orcid":false,"given":"Muhammad A.","family":"Khan","sequence":"first","affiliation":[{"name":"Department of Surgery Section of Transplantation Wake Forest School of Medicine  Winston\u2010Salem NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hany","family":"El\u2010Hennawy","sequence":"additional","affiliation":[{"name":"Department of Surgery Section of Transplantation Wake Forest School of Medicine  Winston\u2010Salem NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Korie C.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Surgery Section of Transplantation Wake Forest School of Medicine  Winston\u2010Salem NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Harriman","sequence":"additional","affiliation":[{"name":"Department of Surgery Section of Transplantation Wake Forest School of Medicine  Winston\u2010Salem NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan C.","family":"Farney","sequence":"additional","affiliation":[{"name":"Department of Surgery Section of Transplantation Wake Forest School of Medicine  Winston\u2010Salem NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Rogers","sequence":"additional","affiliation":[{"name":"Department of Surgery Section of Transplantation Wake Forest School of Medicine  Winston\u2010Salem NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6460-7974","authenticated-orcid":false,"given":"Giuseppe","family":"Orlando","sequence":"additional","affiliation":[{"name":"Department of Surgery Section of Transplantation Wake Forest School of Medicine  Winston\u2010Salem NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7634-094X","authenticated-orcid":false,"given":"Robert J.","family":"Stratta","sequence":"additional","affiliation":[{"name":"Department of Surgery Section of Transplantation Wake Forest School of Medicine  Winston\u2010Salem NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,6,19]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199912023412303"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.V123589"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.21.2726"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2011.03686.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2014.2038"},{"key":"e_1_2_6_7_1","unstructured":"Organ Procurement and Transplantation Network(OPTN)Data 2018athttps:\/\/optn.transplant.hrsa.gov\/data\/view-data-reports\/. 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