Zilinska Z, Chrastina M, Trebaticky B, Breza J, Slobodnik L, Breza J, Bujdak P, Madaric J, Vulev I, Klepanec A
Department of Urology with Kidney Transplant Centre, Derer's Hospital, Bratislava, Slovakia.
Bratisl Lek Listy. 2010;111(11):586-9.
Vascular complications in renal transplant recipients are uncommon but important causes of graft dysfunction and graft loss after kidney transplantation.
To document vascular complications that occurred following kidney transplantations in order to assess the incidence of these complications at our center as well as to identify possible treatment approach.
103 kidney transplantations were performed in the period from 1 January 2008 to 31 December 2009. All patients after kidney transplantation underwent ultrasound examination (included colour Doppler flow and duplex Doppler ultrasound) immediately after surgery--especially in condition of anuria, then regularly according to an internal schedule and always in patients with worsened graft function.
We detected renal vein thrombosis in 3 cases (2.9%), artery thrombosis in 4 cases (3.9%), one time intrarenal pseudoaneurysm (1%) and renal artery stenosis in 10 patients (9.7%). There was no extrarenal pseudoaneurysm or arteriovenous fistula in our group of patients.
The incidence of vascular complications in our department correlates with the incidence of these complications referred in literature. We confirmed the importance of established immediate diagnosis and fast intervention once the diagnosis of vascular complication is established (Fig. 8, Ref. 12). Full Text in free PDF www.bmj.sk.
肾移植受者的血管并发症并不常见，但却是肾移植后移植物功能障碍和移植物丢失的重要原因。
记录肾移植后发生的血管并发症，以评估这些并发症在我们中心的发生率，并确定可能的治疗方法。
2008年1月1日至2009年12月31日期间进行了103例肾移植手术。所有肾移植患者术后立即接受超声检查（包括彩色多普勒血流和双功多普勒超声）——尤其是在无尿的情况下，然后根据内部时间表定期检查，并且在移植物功能恶化的患者中也进行检查。
我们检测到3例（2.9%）肾静脉血栓形成，4例（3.9%）动脉血栓形成，1例（1%）肾内假性动脉瘤，10例（9.7%）肾动脉狭窄。我们的患者组中没有肾外假性动脉瘤或动静脉瘘。
我们科室血管并发症的发生率与文献中报道的这些并发症的发生率相关。我们证实了一旦确诊血管并发症，立即诊断和快速干预的重要性（图8，参考文献12）。全文免费PDF版见www.bmj.sk 。
