Renal Transplantation and Aortic Disease: Operative Management
In the last decade, we recognized three main facts that dramatically changed the perspective on kidney transplant. Firstly, progress in surgical technique and the development of new immunosuppressant protocols have lengthened graft survival; secondly, population affected by end-stage kidney disease (ESKD) has become even older; and finally, renal transplant has increased the longevity of graft recipients. As a result, kidney transplant recipients (KTRs) are more and more exposed to chronic degenerative pathologies, such as atherosclerosis. Additionally, it is necessary to emphasize the relationship existing between ESKD, long-term hemodialysis, and accelerated atherosclerosis . Subsequently, an increase in the prevalence of aortic atherosclerotic disease, either occlusive or dilatative, in KTR must be expected.
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