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使用可膨胀水凝胶弹簧圈治疗移植肾动脉假性动脉瘤：一例报告并文献复习

Treatment of transplant renal artery pseudoaneurysm using expandable hydrogel coils: A case report and review of literature.

作者信息

Marie Yazin, Kumar Avneesh, Hinchliffe Sarah, Curran Simon, Brown Peter, Turner Douglas, Shrestha Badri

机构信息

Sheffield Kidney Institute, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S5 7AU, United Kingdom.

Radiology Department, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S5 7AU, United Kingdom.

出版信息

World J Transplant. 2018 Oct 22;8(6):232-236. doi: 10.5500/wjt.v8.i6.232.

DOI:10.5500/wjt.v8.i6.232
PMID:30370233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6201328/
Abstract

Transplant renal artery (TRA) pseudoaneurysm can result in bleeding, infection, graft dysfunction and graft loss. We report the management of a renal transplant recipient who presented five months after renal transplantation with deterioration of renal function, who was found to have TRA pseudoaneurysm and TRA stenosis. Both were treated radiologically by using expandable hydrogel coils (EHC) in combination with stenting. Improvement in clinical, biochemical and radiological parameters were observed after the intervention. To our knowledge, this is the first report in the transplant literature on the use of EHC for the treatment of a TRA pseudoaneurysm.

摘要

移植肾动脉（TRA）假性动脉瘤可导致出血、感染、移植物功能障碍和移植物丢失。我们报告了一例肾移植受者的治疗情况，该受者在肾移植后五个月出现肾功能恶化，经检查发现患有TRA假性动脉瘤和TRA狭窄。通过使用可膨胀水凝胶弹簧圈（EHC）联合支架置入术对二者进行了放射治疗。干预后观察到临床、生化和影像学参数均有改善。据我们所知，这是移植文献中首次报道使用EHC治疗TRA假性动脉瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff0a/6201328/88f6c7705abb/WJT-8-232-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff0a/6201328/22b936101b77/WJT-8-232-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff0a/6201328/6b76afdfe8e3/WJT-8-232-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff0a/6201328/88f6c7705abb/WJT-8-232-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff0a/6201328/22b936101b77/WJT-8-232-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff0a/6201328/6b76afdfe8e3/WJT-8-232-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff0a/6201328/88f6c7705abb/WJT-8-232-g003.jpg

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Treatment of transplant renal artery pseudoaneurysm using expandable hydrogel coils: A case report and review of literature.使用可膨胀水凝胶弹簧圈治疗移植肾动脉假性动脉瘤：一例报告并文献复习
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引用本文的文献

1
Life-Threatening Hematuria as Initial Presentation of a Complicated Transplant Renal Artery Pseudoaneurysm.危及生命的血尿作为复杂移植肾动脉假性动脉瘤的首发表现
Int J Angiol. 2020 Sep 16;32(4):253-257. doi: 10.1055/s-0040-1716327. eCollection 2023 Dec.

本文引用的文献

1
Renal pseudoaneurysm after core-needle biopsy of renal allograft successfully managed with superselective embolization.同种异体肾移植经皮肾穿刺活检术后肾假性动脉瘤经超选择性栓塞成功治疗。
Int Braz J Urol. 2016 Jan-Feb;42(1):165-7. doi: 10.1590/S1677-5538.IBJU.2014.0315.
2
Candida-associated pseudo-aneurysm of the transplant renal artery presenting as malignant hypertension and managed successfully without nephrectomy.念珠菌相关的移植肾动脉假性动脉瘤表现为恶性高血压，未行肾切除术成功治愈。
Saudi J Kidney Dis Transpl. 2015 Sep;26(5):1000-5. doi: 10.4103/1319-2442.164591.
3
Presentation and management of mycotic pseudoaneurysm after kidney transplantation.
肾移植后霉菌性假性动脉瘤的表现与处理
Transpl Infect Dis. 2015 Feb;17(1):129-36. doi: 10.1111/tid.12346. Epub 2015 Jan 13.
4
Successful excision of a suspected mycotic transplant renal artery patch aneurysm with renal allograft autotransplantation.成功切除疑似真菌性移植肾动脉斑块动脉瘤并进行同种异体肾自体移植。
Transplantation. 2014 Feb 15;97(3):e25-6. doi: 10.1097/01.TP.0000438628.75848.9a.
5
Endovascular repair of a para-anastomotic pseudoaneurysm after renal autotransplantation: an alternative to open reconstruction.肾自体移植术后吻合口旁假性动脉瘤的血管内修复：开放重建的替代方法
Ann Vasc Surg. 2013 Jan;27(1):110.e5-8. doi: 10.1016/j.avsg.2012.06.003. Epub 2012 Oct 16.
6
Successful repair of post-transplant mycotic aneurysm of iliac artery with renal graft preservation: a case report.移植后髂动脉瘤成功修复并保留移植肾：1 例报告。
Urology. 2012 Nov;80(5):1151-3. doi: 10.1016/j.urology.2012.07.048. Epub 2012 Sep 19.
7
Analysis of vascular complications after renal transplantation.肾移植术后血管并发症分析
Transplant Proc. 2011 Mar;43(2):557-61. doi: 10.1016/j.transproceed.2011.01.007.
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Use of autogenous internal iliac artery for bridging the external iliac artery after excision of Aspergillus mycotic aneurysm in renal transplant recipients.自体髂内动脉用于重建肾移植受者切除曲霉菌性动脉瘤后外髂动脉。
J Vasc Surg. 2011 Mar;53(3):802-4. doi: 10.1016/j.jvs.2010.10.102. Epub 2011 Jan 7.
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Asymptomatic large extracapsular renal pseudoaneurysm following kidney transplant biopsy.肾移植活检后无症状性巨大肾包膜外假性动脉瘤。
Am J Kidney Dis. 2011 Jan;57(1):175-8. doi: 10.1053/j.ajkd.2010.07.020.
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