{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:29:41Z","timestamp":1753878581215,"version":"3.41.2"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,4,6]],"date-time":"2020-04-06T00:00:00Z","timestamp":1586131200000},"content-version":"vor","delay-in-days":0,"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":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The presence of a lower limb arteriovenous graft (LL\u2010AVG) is indicative of a group of complex hemodialysis patients who have precarious long\u2010term vascular access. The aim of this study is to describe our experience of the clinical decisions and interactions between LL\u2010AVG and renal transplantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The records of 23 patients who received a transplant in the presence of a LL\u2010AVG between 2010 and 2018 were analyzed: firstly, to determine whether patients with a LL\u2010AVG received extended criteria transplants, the implantation procedure, and the management of the LL\u2010AVG in the post\u2010operative period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventeen patients (74%) had \u201cend\u2010stage access\u201d and were thus considered for all offer stratified by the kidney donor profile index (KDPI) and donor type (DBD or DCD). In eleven patients (48%), a kidney with a high risk of delayed graft function was transplanted. Same\u2010sided renal transplantation occurred in only 35% of cases, and of these, only one LL\u2010AVG was ligated immediately to improve transplant perfusion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A patient\u2010based approach applied in decision\u2010making on management of the LL\u2010AVG post\u2010transplantation should include (a) the likelihood of delayed graft function, (b) the need for post\u2010operative hemodialysis, (c) the side of proposed transplant compared to the LL\u2010AVG, and (d) local complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.13846","type":"journal-article","created":{"date-parts":[[2020,2,25]],"date-time":"2020-02-25T15:34:26Z","timestamp":1582644866000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The management of lower limb arteriovenous grafts in the perioperative period following renal transplantation"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9660-0729","authenticated-orcid":false,"given":"Andrej","family":"Isaak","sequence":"first","affiliation":[{"name":"Renal and Transplant Surgery Queen Elizabeth University Hospital Glasgow UK"},{"name":"Department of Vascular and Endovascular Surgery University Hospital Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta J.","family":"Madurska","sequence":"additional","affiliation":[{"name":"Renal and Transplant Surgery Queen Elizabeth University Hospital Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen S.","family":"Stevenson","sequence":"additional","affiliation":[{"name":"Renal and Transplant Surgery Queen Elizabeth University Hospital Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenz","family":"G\u00fcrke","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery University Hospital Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David B.","family":"Kingsmore","sequence":"additional","affiliation":[{"name":"Renal and Transplant Surgery Queen Elizabeth University Hospital Glasgow UK"},{"name":"Department of Vascular and Endovascular Surgery Queen Elizabeth University Hospital Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2009.06.003"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1129729818762991"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2008.03.144"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eucr.2016.05.008"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2006.25.7.939"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-199902150-00029"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/TXD.0000000000000726"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.02270409"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.13190"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.10.103"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000238"},{"key":"e_1_2_6_13_1","unstructured":"OsbandAJN ZakiR.Femoral arteriovenous grafts can complicate kidney transplantation.http:\/\/www.hcplive.com\/publications\/surgical-rounds\/2008\/2008-01\/2008-01_04\/. 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