{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:23:45Z","timestamp":1787775825411,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The arterial anastomosis in renal transplantation is done either end-to-end to the internal iliac artery (IIA) or end-to-side to the external iliac artery (EIA). This retrospective study is to compare the vascular complications of these two techniques occurring in the immediate postoperative period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>The data of 111 patients who underwent renal transplantation (live and deceased) were collected from the hospital records. Fifty-four (48.6%) had live donors, and 57 (51.4%) had deceased donors. Fifty (45%) patients had anastomosis to IIA alone, 57 (51.3%) to EIA alone, and 4 (3.6%) to both vessels. Age and sex of the recipient, cause of chronic kidney disease, side of the donor kidney, and number of donor renal arteries, presence of atherosclerotic changes on the recipient\u2019s vessels, and presence of diabetes mellitus were noted. The details of the perioperative and postoperative vascular complications and the management of each one were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Nine patients had vascular complications, of which 5 (55.5%) patients had main vessel transplant renal artery thrombosis, 1 (11.1%) patient had accessory renal artery thrombosis, and 3 (33.3%) patients had transplant renal artery stenosis (TRAS). Out of the six cases of transplant renal artery thrombosis, 4 (66.6%) were seen in anastomosis with EIA. All 3 (100%) cases of TRAS were seen in anastomosis to the EIA. The vascular complications were not significantly associated with the type of anastomosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>On short-term follow-up, the incidence of vascular complications was not found to be significantly affected by the type of anastomosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ua.ua_59_24","type":"journal-article","created":{"date-parts":[[2025,1,18]],"date-time":"2025-01-18T04:00:13Z","timestamp":1737172813000},"page":"38-42","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of vascular complications between external iliac and internal iliac artery anastomosis of the donor renal artery in renal transplant recipients"],"prefix":"10.4103","volume":"17","author":[{"given":"G. Manoj","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Urology, Government TD Medical College, Alappuzha, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Ashok","sequence":"additional","affiliation":[{"name":"Department of Urology, Government of Medical College, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Suresh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, Government of Medical College, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1,18]]},"reference":[{"key":"R1-20260423","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1016\/S0140-6736(20)30045-3","article-title":"Global, regional, and national burden of chronic kidney disease, 1990\u20132017: A systematic analysis for the Global Burden of Disease Study 2017","volume":"395","year":"2020","journal-title":"Lancet"},{"key":"R2-20260423","doi-asserted-by":"crossref","first-page":"3006","DOI":"10.1016\/S0041-1345(98)00906-3","article-title":"Various vascular procedures in kidney transplantations","volume":"30","author":"Moon","year":"1998","journal-title":"Transplant Proc"},{"key":"R3-20260423","first-page":"243","article-title":"Anastomosis of blood vessels by the patching method and transplantation of the kidney. 1906 [classical article]","volume":"74","author":"Carrel","year":"2001","journal-title":"Yale J Biol Med"},{"key":"R4-20260423","doi-asserted-by":"crossref","first-page":"3019","DOI":"10.1016\/S0041-1345(02)03626-6","article-title":"Ren\u00e9 K\u00fcss: Fifty years of retroperitoneal placement of renal transplants","volume":"34","author":"Cinqualbre","year":"2002","journal-title":"Transplant Proc"},{"key":"R6-20260423","doi-asserted-by":"crossref","first-page":"1731","DOI":"10.1111\/j.1600-6143.2005.00927.x","article-title":"Management of arterial stenosis affecting kidney graft perfusion: A single-centre study in 53 patients","volume":"5","author":"Voiculescu","year":"2005","journal-title":"Am J Transplant"},{"key":"R7-20260423","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1186\/s12882-018-0856-y","article-title":"Transplant renal artery stenosis caused by the stretch of an artery branch: A case report and literature review","volume":"19","author":"Li","year":"2018","journal-title":"BMC Nephrol"},{"key":"R8-20260423","first-page":"260","article-title":"Kidney transplant anastomosis: Internal or external iliac artery?","volume":"6","author":"Matheus","year":"2009","journal-title":"Urol J"},{"key":"R9-20260423","doi-asserted-by":"crossref","first-page":"1150331","DOI":"10.3389\/frtra.2023.1150331","article-title":"Diagnostic and therapeutic strategies for vascular complications after renal transplantation: A single-center experience in 2,304 renal transplantations","volume":"2","author":"Zhang","year":"2023","journal-title":"Front Transplant"},{"key":"R10-20260423","doi-asserted-by":"crossref","first-page":"125","DOI":"10.4103\/ijot.ijot_16_20","article-title":"A prospective comparison of end-to-side and end-to-end renal transplant arterial anastomosis in living donor transplants from an Indian center","volume":"14","author":"Rana","year":"2020","journal-title":"Indian J Transplant"}],"container-title":["Urology Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ua.ua_59_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:43:17Z","timestamp":1787773397000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ua.ua_59_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ua.ua_59_24","relation":{},"ISSN":["0974-7796","0974-7834"],"issn-type":[{"value":"0974-7796","type":"print"},{"value":"0974-7834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-07-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}