Tao Ran, Shapiro Ron
Department of Surgery, The Thomas E. Starzl Transplantation Institute, University of Pittsburgh Medical Center, Pittsburgh, PA 15213-3236, USA.
Pediatr Transplant. 2010 Sep 1;14(6):E70-4. doi: 10.1111/j.1399-3046.2009.01132.x. Epub 2009 Mar 10.
IVC/iliac vein thrombosis has previously been considered to be a contraindication to renal transplantation because of the technical difficulties and the increased risk of graft thrombosis. We report two successful cases of adult-to-child kidney transplantation in which we anastomosed the graft renal vein to the recipient ovarian vein in the presence of IVC and/or iliac vein thrombosis, with no short or long term vascular complications. Our experience, which adds to the successful reports from several other centers, suggests that the inability to use the iliocaval axis should no longer be considered a contraindication to pediatric renal transplantation.
由于技术困难以及移植肾血栓形成风险增加，下腔静脉/髂静脉血栓形成以前一直被视为肾移植的禁忌证。我们报告了两例成人到儿童肾移植成功的病例，在存在下腔静脉和/或髂静脉血栓形成的情况下，我们将移植肾静脉与受体卵巢静脉进行吻合，未出现短期或长期血管并发症。我们的经验以及其他几个中心的成功报告表明，无法利用髂腔轴不应再被视为小儿肾移植的禁忌证。
