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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Renal transplantation is the most effective treatment for end-sage kidney disease (ESKD), offering superior survival and quality of life compared to dialysis. However, increasing prevalence of iliac artery atherosclerosis poses substantial surgical challenges, particularly in resource-limited settings where vascular imaging may not be a routine. We therefore set out to evaluate the clinical outcomes of renal transplantation in recipients with iliac artery atherosclerosis at a Nigerian transplant centre, focusing on prevalence, intraoperative challenges, surgical strategies and short-term outcomes.
A retrospective observational study was conducted with patients that had transplant between August 2023 and July 2024, and includes all adult ESKD patients with documented iliac artery atherosclerosis. Extracted data included sociodemographic data, comorbidities, intraoperative findings, and postoperative outcomes. Statistical analysis was carried out using Microsoft excel and SPSS version 27
A total of 162 patients had kidney transplantation within the study period. The incidence of iliac artery atherosclerosis was 54.87%. The average age of the patients was 51.26 years, 80.6% were males, and the commonest comorbidities were diabetes mellitus, hypertension and HIV. The average BMI was 24.49 kg/m2, while about 29.1% were either overweight or obese. The site of the atheromatous plaque were external iliac artery (69.4%), femoral artery (24.2%), common iliac artery (3.2%), while some patients had it in all the vessels (3.2%). Additionally, 79.0% were bilateral, 12.9% were right-sided, while 8.1% were left-sided plaques. Out of these, 69.4% were mild, 14.5% were moderate and 16.1% were severe atherosclerosis. During the surgeries, bleeding, thrombosis and slipped suture and re-anastomosis were observed in only one patient each. Findings in the immediate post operative period included delayed graft function (6.5%), acute rejection (8.1%), and re-exploration (8.1%). The 1-year patient and graft survival were 88.7% and 72.6% respectively.
Renal transplantation in recipients with iliac artery atherosclerosis is feasible and can achieve relatively satisfactory short-term patient and graft survival outcomes when managed with appropriate surgical expertise and intraoperative vigilance. Although the incidence of atherosclerosis was relatively high in this cohort, perioperative complications were infrequent, revealing the value of careful patient selection and meticulous operative technique. These findings highlight the need for routine preoperative vascular assessment and context-specific surgical planning, particularly in resource-limited settings where atherosclerotic disease burden is rising alongside increasing transplant rates.
