Renal transplant anastomotic pseudoaneurysms: Case report of open repair and endovascular management
| Autor: | Nitin Sharma, Robert Turnbull, Ronald B. Moore, Mauricio Caldas, Allan Murray, Dermot McNally, Gerald T Todd, Samir Bidnur |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Urology Renal function Case Report Case Reports Anastomosis endovascular stenting Jump graft vascular complication Pseudoaneurysm Vascularity vascular repair medicine.artery renal transplant medicine cardiovascular diseases Surgical repair business.industry External iliac artery medicine.disease Surgery surgical procedures operative anastomotic pseudoaneurysm Renal transplant cardiovascular system jump graft medicine.symptom business |
| Zdroj: | IJU Case Reports |
| ISSN: | 2577-171X |
| Popis: | Introduction Anastomotic pseudoaneurysm is one of the rarest vascular complications after renal transplant surgery. Therapeutic options include open surgical repair or endovascular stenting. Case presentation Case 1 had pseudoaneurysm involving external iliac artery and was managed by jump graft to allograft using cadaveric donor iliac arteries and patch angioplasty repair of external iliac artery after excising pseudoaneurysm. Case 2 had undergone orthotopic renal transplant with spleno-renal arterial anastomosis and developed a massive pseudoaneurysm proximal to spleno-renal arterial anastomosis. This patient underwent endovascular stenting preserving allograft vascularity and graft function. Outcome in both patients was successful with normalization of renal function to baseline levels. Conclusion Treatment of renal transplant anastomotic pseudoaneurysms is difficult and associated with high rates of graft loss. Open surgery is the gold standard providing several possibilities for arterial reconstruction preserving graft and limb circulation. Endovascular treatment should be considered in high-risk surgical patients with favorable anatomy. |
| Databáze: | OpenAIRE |
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