ORCID
- Jos M. Latour: 0000-0002-8087-6461
Abstract
Objectives: Vascular complications account for 30% to 35% of total kidney grafts lost during the first 3 months posttransplant. Early detection of vascular complications allows an opportunity for prompt intervention, which is critical to reducing graft loss. In this study, we evaluated the usefulness of an implantable Doppler probe as a vascular monitoring device in kidney transplant patients. Materials and Methods: An implantable Doppler probe is used intermittently for postoperative monitoring of kidney transplant patients at our center. In this retrospective study, we analyzed prospectively maintained medical data in which we compared clinical outcomes of kidney transplant recipients who had postoperative implantable Doppler probe monitoring versus standard care clinical observation. Between January 2016 and October 2021, 324 kidney transplant patients were seen at our center. Patients were divided into 2 groups: group 1 (n = 194; 60%) included kidney transplant recipients with postoperative implantable Doppler probe monitoring and group 2 (n = 129; 40%) included kidney transplant recipients with standard care clinical observation. We compared number of vascular complications, number of departmental ultrasonographic scans required posttransplant, and graft loss at 3 months between the 2 groups. Results: Vascular complications were identified in 13.5% of total patients, with graft loss identified in 2.1%. Both groups were similar in demographical characteristics. Group 1 had more vascular complications (17.5% vs 9.3%; relative risk = 1.88), fewerultrasonographic scans during the first 24 hours posttransplant (71.1% vs 83.7%; relative risk = 0.84), and lower graft loss (1.5% vs 3.1%; relative risk = 0.48) than group 2. All probes were removed safely after 72 hours, and no complications related to the device were reported. Conclusions: The monitoring device may be used as an additional adjunct for graft monitoring in kidney transplant patients. Further controlled studies are warranted to evaluate this device in clinical practice.
DOI
10.6002/ect.2021.0500
Publication Date
2022-01-01
Publication Title
Experimental and Clinical Transplantation
Volume
20
Issue
4
ISSN
1304-0855
Keywords
Blood flow, Graft perfusion surveillance, Renal transplantation
First Page
355
Last Page
361
Recommended Citation
Malik, M., Akoh, J., Aroori, S., & Latour, J. (2022) 'Implantable Doppler Probe as a Vascular Monitoring Device in Kidney Transplant Patients: Investigation of Use at a Single Center', Experimental and Clinical Transplantation, 20(4), pp. 355-361. Available at: https://doi.org/10.6002/ect.2021.0500
