Preserved Renal Function in Kidney Transplantation over a Thrombosed Aortobifemoral Bypass Graft: The Role of Retrograde Flow and Early Thrombolysis
| Autor: | Saúl Pampa-Saico, Sara Jiménez-Alvaro, Fernando Caravaca-Fontán, Ana Fernández-Rodríguez, Maite Rivera-Gorrín, Juan Sánchez, Antonio Chinchilla, Roberto Marcén |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | Case Reports in Transplantation, Vol 2016 (2016) |
| Druh dokumentu: | article |
| ISSN: | 2090-6943 2090-6951 |
| DOI: | 10.1155/2016/6579591 |
| Popis: | Aortobifemoral bypass (ABFB) thrombosis is not uncommon, and when the artery of a renal graft is implanted on a bypass the risk of graft loss is high. We report the case of a 48-year-old woman with a previous history of ABFB under antiplatelet therapy and a kidney allograft implanted on the vascular prosthesis, who presented with acute limb ischemia and severe renal impairment. Imaging techniques revealed a complete thrombosis of the proximal left arm of the ABFB. However, a faint retrograde flow over the graft was observed thanks to the recanalization of distal left bypass by collateral native arteries. This unusual situation not previously reported in a kidney transplant setting, together with an early diagnosis, allowed graft survival until an early local thrombolysis resolved the problem. Two years later, renal function remains normal. |
| Databáze: | Directory of Open Access Journals |
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