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All but one patient received surgical management. During the operative management of the G2 group, transplantectomy for graft necrosis was performed immediately in The FGR was Numerous complications occurred during the initial hospitalization: 38 patients had a postoperative infection Five patients died 2.

Our study confirms the very poor prognosis of early renal graft venous thrombosis. Early renal vein thrombosis posttransplantation eRVTPT is a serious complication occurring during the first 14 days of renal transplantation 1 , and its frequency is estimated to be between 0. Clinical suspicion can be confirmed by renal Doppler ultrasound 9 , computed tomography angiography, or magnetic resonance angiography 10 , Indeed, the data on such management in the literature are based on case series or small cohorts.

It is reported to require surgical revision, with thrombectomy by renal venotomy 12 , anastomotic repair, or explantation, flushing with preservative solution and reimplantation 13 , and more rarely endovascular treatment 14 or thrombolysis alone Regardless of the reported management, the rate of functional grafts at discharge is extremely low 5 — 7 , The aim of our study was to investigate different management strategies during the occurrence of eRVTPT and the outcome of the renal graft.

We also collected the following demographic, clinical and biological data of the recipient: age, sex, body mass index, thromboembolic history, haematological pathologies, history of miscarriage, smoking, diabetes, initial renal disease, presence of pretransplant anticoagulant or antiaggregant treatments, and induction immunosuppressive treatments.