Anastomotic Pseudoaneurysm Complicating Renal Transplantation: Treatment Options

Autor: Umberto Bracale, L Del Guercio, Simone Maurea, Porcellini M, Michele Santangelo, Giancarlo Bracale, F Carbone
Přispěvatelé: Bracale, UM, Santangelo, M, Carbone, F, del Guercio, L, Maurea, S, Porcellini, M, Bracale, G, Bracale, UMBERTO MARCELLO, Santangelo, Michele, Carbone, Francesca, DEL GUERCIO, Luca, Maurea, Simone, Porcellini, Massimo, Bracale, Giancarlo
Rok vydání: 2010
Předmět:
Male
Time Factors
Settore MED/22 - Chirurgia Vascolare
Nephrectomy
Transplant nephrectomy
Pseudoaneurysm
Renal Artery
Stent
Transplantation
Homologou
Medicine(all)
Open repair
Anastomosis
Surgical
Treatment options
Middle Aged
Blood Vessel Prosthesi
Treatment Outcome
surgical procedures
operative
cardiovascular system
Female
Stents
Radiology
Cardiology and Cardiovascular Medicine
Aneurysm
False
Human
Adult
Reoperation
medicine.medical_specialty
Time Factor
Anastomosis
Iliac Artery
Sepsis
Blood Vessel Prosthesis Implantation
Aneurysm
Endovascular repair
medicine
Humans
Transplantation
Homologous
Stent-graft
cardiovascular diseases
Aged
business.industry
Renal transplantation
medicine.disease
Kidney Transplantation
Surgery
Blood Vessel Prosthesis
Transplantation
business
Tomography
X-Ray Computed
Aneurysm
Infected
Zdroj: European Journal of Vascular and Endovascular Surgery. 39(5):565-568
ISSN: 1078-5884
DOI: 10.1016/j.ejvs.2009.12.010
Popis: Introduction: Anastomotic pseudoaneurysm following renal transplantation is uncommon. Indications for repair, treatment options and outcomes remain controversial. Report: We present 6 renal transplant recipients with large anastomotic pseudoaneurysms. Five of the patients underwent open repair while one had a stent-grafting and delayed transplant nephrectomy for a ruptured pseudoaneurysm. A transplant nephrectomy was needed in all cases but one. Arterial reconstruction enabled limb salvage in all cases. One patient died of sepsis postoperatively. No patient presented late infection, failure of vascular reconstruction, nor pseudoaneurysm recurrence. Conclusions: Surgical excision of anastomotic pseudoaneurysms results in high rates of allograft loss. Less invasive techniques have a place in selected cases. © 2009 European Society for Vascular Surgery.
Databáze: OpenAIRE
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