Renal transplant anastomotic pseudoaneurysms: Case report of open repair and endovascular management.

anastomotic pseudoaneurysm endovascular stenting jump graft renal transplant vascular complication vascular repair

Journal

IJU case reports
ISSN: 2577-171X
Titre abrégé: IJU Case Rep
Pays: Australia
ID NLM: 101764958

Informations de publication

Date de publication:
Mar 2019
Historique:
received: 18 11 2018
accepted: 03 01 2019
entrez: 4 8 2020
pubmed: 12 2 2019
medline: 12 2 2019
Statut: epublish

Résumé

Anastomotic pseudoaneurysm is one of the rarest vascular complications after renal transplant surgery. Therapeutic options include open surgical repair or endovascular stenting. 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. 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.

Identifiants

pubmed: 32743381
doi: 10.1002/iju5.12047
pii: IJU512047
pmc: PMC7292077
doi:

Types de publication

Case Reports

Langues

eng

Pagination

86-89

Informations de copyright

© 2019 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

Références

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Auteurs

Nitin Sharma (N)

Department of Surgery University of Alberta Hospital Edmonton Alberta Canada.
Division of Urology-Transplant University of Alberta Hospital Edmonton Alberta Canada.

Samir Bidnur (S)

Department of Surgery University of Alberta Hospital Edmonton Alberta Canada.
Division of Urology-Transplant University of Alberta Hospital Edmonton Alberta Canada.

Mauricio Caldas (M)

Department of Surgery University of Alberta Hospital Edmonton Alberta Canada.
Division of Urology-Transplant University of Alberta Hospital Edmonton Alberta Canada.

Dermot McNally (D)

Department of Interventional Radiology University of Alberta Hospital Edmonton Alberta Canada.

Allan Murray (A)

Department of Medicine University of Alberta Hospital Edmonton Alberta Canada.
Division of Transplant Nephrology University of Alberta Hospital Edmonton Alberta Canada.

Robert Turnbull (R)

Department of Surgery University of Alberta Hospital Edmonton Alberta Canada.
Division of Vascular Surgery University of Alberta Hospital Edmonton Alberta Canada.

Gerald T Todd (GT)

Department of Surgery University of Alberta Hospital Edmonton Alberta Canada.
Division of Urology-Transplant University of Alberta Hospital Edmonton Alberta Canada.

Ronald B Moore (RB)

Department of Surgery University of Alberta Hospital Edmonton Alberta Canada.
Division of Urology-Transplant University of Alberta Hospital Edmonton Alberta Canada.

Classifications MeSH