par Kinnaert, Paul 
;Vereerstraeten, Pierre ;Toussaint, Charles ;Van Geertruyden, Jean
Référence Nouvelle Presse Medicale, 5, 35, page (2299-2302)
Publication Publié, 1976
;Vereerstraeten, Pierre ;Toussaint, Charles ;Van Geertruyden, Jean Référence Nouvelle Presse Medicale, 5, 35, page (2299-2302)
Publication Publié, 1976
Article révisé par les pairs
| Résumé : | Between January 1968 and December 1975, 25 patients (13 men and 12 women) were treated in the dialysis and transplantation unit for terminal renal insufficiency, secondary to polycystic disease. 9 (36%) underwent repeated surgery to ensure adequate successful vascular access for hemodialysis, whilst only 14.1% suffering from renal insufficiency of another cause had to undergo the operation on more than 1 occasion in order to be treated. In the majority of cases vasospasm was responsible for the obliteration of internal or external arterio venous shunts. It was particularly common in women with a normal or low blood pressure. In this group, 3/4 of the patients needed several operations to make dialysis possible. 14 patients underwent bilateral nephrectomy. 1 death occurred in a patient receiving a renal transplant during the same operation. 15 kidney grafts were carried out and percentages of functional transplants at 1 and 2 years afterwards were 45.4 and 37.8% respectively. These poor results may be explained by the fact that 13 of our 15 patients were more than 40 years old. |
