Piquet P, Berland Y, Coulange C, Olmer M, Mercier C, Rampal M
Service de Chirurgie Vasculaire, Hôpital de la Conception, Marseille, France.
Ann Vasc Surg. 1989 Jul;3(3):251-6. doi: 10.1016/S0890-5096(07)60034-X.
Aortoiliac atherosclerosis can jeopardize the outcome of renal transplantation. During a five-year period, 176 renal transplants were performed. Of these, four patients underwent prior or simultaneous arterial reconstruction. In two, transplantation was successfully performed three and ten months after abdominal aortic aneurysm repair. In the two others with aortoiliac occlusive lesions, simultaneous arterial reconstruction and transplantation were successfully performed. We conclude that the discovery of aortoiliac lesions in a candidate for renal transplantation warrants consideration for staged or simultaneous arterial reconstruction to widen the indications for transplantation in such individuals and provide satisfactory long-term transplant durability.
主髂动脉粥样硬化会危及肾移植的结果。在五年期间，共进行了176例肾移植手术。其中，4例患者在肾移植前或同时进行了动脉重建。其中2例患者在腹主动脉瘤修复术后3个月和10个月成功进行了移植。另外2例患有主髂动脉闭塞性病变的患者，同时进行动脉重建和移植手术获得成功。我们得出结论，肾移植候选者中发现主髂动脉病变值得考虑进行分期或同期动脉重建，以扩大此类患者的移植适应症，并提供令人满意的长期移植耐久性。
