Talbot-Wright R, Alcaraz A, Puyol M, Umbert B, Serrano J, Andreu J, Carretero P
Hospital Clínico, Cátedra de Urología, Universidad de Barcelona, España.
Actas Urol Esp. 1990 Sep-Oct;14(5):352-5.
The present paper analyzes the incidence of vascular complications and their treatment, in a series of 500 consecutive Heterotopical Kidney Transplants (KT), performed in our Service between January 1978 and December 1988. There was a total of 14 (2.8%) complications of which 8 (1.6%) correspond to renal artery stenosis. Of the 8 cases with renal artery stenosis, in 2 of them primary surgical treatment was indicated. The first one was a transplantectomy (TRX) and the second one reconstructive direct surgery. In the 6 remaining patients a Percutaneous Transluminal Angioplasty (PTA) was indicated. In three of these patients the stenosis resolved although one of them needed a second dilatation. In the last three there was: a thrombosis requiring TRX, a post dilatation anuria added to failure in the treatment of HT and which, finally, had to undergo surgery, and a third failure that could not be resolved by surgery and had to be subjected to graft nephrectomy. One of the patients in the surgical group died.
本文分析了1978年1月至1988年12月期间在我院进行的连续500例异位肾移植（KT）中血管并发症的发生率及其治疗情况。共有14例（2.8%）并发症，其中8例（1.6%）为肾动脉狭窄。在8例肾动脉狭窄患者中，2例需要进行一期手术治疗。第一例是移植肾切除术（TRX），第二例是直接重建手术。其余6例患者则进行经皮腔内血管成形术（PTA）。其中3例患者的狭窄得以缓解，不过其中1例需要再次扩张。最后3例患者的情况如下：1例出现血栓形成，需要进行移植肾切除术；1例在扩张后出现无尿，同时高血压治疗失败，最终不得不接受手术；第3例手术无法解决问题，不得不进行移植肾切除术。手术组中有1例患者死亡。
