Donor/Recipient Delta Age: A Possible Risk for Arterial Stenosis in Renal Transplantation

Comput Math Methods Med. 2015:2015:512929. doi: 10.1155/2015/512929. Epub 2015 Dec 31.

Abstract

Different arterial wall properties can significantly increase the risk of blood turbulent fluxes leading to complications such as atherosclerosis. Since the mechanical properties of arterial vessels are influenced by age, we investigated, in a retrospective study, the effects on renal artery stenosis of an age difference >15 years between donor and recipient in a cohort of 164 patients undergoing renal transplantation between 1981 and 1991. The age difference between donor and recipient was ≤15 years in 87 patients (53.0%) (Group A) and >15 years in 77 patients (47.0%) (Group B, p = ns). None of the Group A patients developed an anastomotic arterial stenosis, whereas 8/77 Group B patients (10.4%) had an anastomotic arterial stenosis (p < 0.001). This study shows that an age difference >15 years is significantly linked to the risk of developing arterial stenosis after renal transplantation. Indeed, different wall properties can significantly increase the risk of generation of blood turbulent fluxes and involve, in the arterial vessels, the development of complications such as atherosclerosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Biomechanical Phenomena
  • Cohort Studies
  • Computational Biology
  • Constriction, Pathologic
  • Female
  • Hemodynamics
  • Humans
  • Kidney Transplantation / adverse effects*
  • Male
  • Middle Aged
  • Renal Artery / pathology
  • Renal Artery / physiopathology
  • Renal Artery Obstruction / etiology*
  • Renal Artery Obstruction / pathology
  • Renal Artery Obstruction / physiopathology
  • Retrospective Studies
  • Risk Factors
  • Tissue Donors