RecruitingNCT06677437

Endovascular Preparation for Kidney Tranplantation

Sponsor

Hospices Civils de Lyon

Enrollment

58 participants

Start Date

Jan 1, 2024

Study Type

OBSERVATIONAL

Conditions

Kidney Transplant Renal Failure Chronic

Summary

This national study is a feasibility study. It wants to validate all stages of the endovascular preparation of the iliac axis up to the kidney transplant for patients in whom the installation of a tailor-made endoprosthesis was necessary beforehand. These patients are currently at a therapeutic impasse. This strategy of renal transplantation on an iliac artery endoprosthesis could ultimately give them access to the transplant with an improvement in quality of life and survival, for lower costs of care for the hospital and safety. less social than treatment by hemodialysis

Eligibility

Min Age: 18 YearsMax Age: 85 Years

Inclusion Criteria4

Patient from 18 to 85 years old (beyond 85 years old, guidance must remain exceptional)
Patients with chronic renal failure
Waiting for a kidney transplant
Who have a vascular contraindication to renal transplantation because of their anatomical constraints.

Exclusion Criteria8

All criteria contraindicating kidney transplant other than for arterial anatomical problems: All criteria contraindicating kidney transplant other than for arterial anatomical problems:
A progressive cancer, which is not cured,
An uncontrolled infectious disease,
Severe cardiovascular or respiratory disease making general anesthesia impossible,
Unstabilized psychiatric disorders or illness,
Dementia proven to have progressed after specialist advice
Major obesity, with a body mass index greater than 50 kg/m2
Patient refusal 2. Patient under curatorship 3. Pregnant woman 4. Patients for whom it will not be possible to organize regular medical follow-up

Interventions

OTHERThis is an observational and retrospective study

It concerns all patients with chronic renal failure awaiting a kidney transplant, and presenting a contraindication to the transplant due to their anatomical constraints: major arterial calcifications, iliac dissections, iliac stenoses. They can only receive the kidney transplant after arterial preparation. These patients will be included and will benefit from endovascular preparation for the kidney transplant using a tailor-made arterial stent. Imaging examinations and follow-up clinical data will be analyzed. Reinterventions and causes of death will be analyzed. An information sheet will be given to patients; if the patient refuses the use of their data, it will not be collected. Data collection will be carried out by ARCs or PIs of the centers from medical records. The data will be pseudo-anonymized, entered into a REDCAP database shared between each center.