Siddiqui Anila C, Lew Susie Q, Sarin Shawn, Venbrux Anthony C
Department of Medicine, George Washington University, Washington, DC, USA.
BMJ Case Rep. 2012 Jun 8;2012:bcr0220125827. doi: 10.1136/bcr.02.2012.5827.
A patient presented with abdominal pain, hypotension and a retroperitoneal haematoma 5 days after transplant nephrectomy. Vascular injury sustained from transplant nephrectomy was repaired using endovascular techniques. Several known advantages to endovascular repair include: (1) intervention by a less invasive approach, (2) performance under local anaesthesia, (3) association with a shorter hospital stay and (4) reduction in morbidity and mortality. There were no infectious complications to the stent or the patient despite positive blood cultures obtained upon admission to the hospital. It was concluded that endovascular repair of an iliac artery used for kidney transplantation had favourable outcomes with respect to infection control and use of the vessel for future anastomosis.
一名患者在移植肾切除术后5天出现腹痛、低血压和腹膜后血肿。采用血管内技术修复移植肾切除术中造成的血管损伤。血管内修复有几个已知的优点，包括：（1）通过侵入性较小的方法进行干预；（2）在局部麻醉下进行操作；（3）住院时间较短；（4）发病率和死亡率降低。尽管入院时血培养呈阳性，但支架和患者均未出现感染并发症。结论是，对于用于肾移植的髂动脉进行血管内修复，在感染控制和该血管用于未来吻合方面具有良好的效果。
