Vijayvergiya Rajesh, Sharma Ashish, Singh Sarbpreet, Kanabar Kewal
Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Department of Renal Transplant Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Ann Vasc Surg. 2019 Aug;59:312.e7-312.e9. doi: 10.1016/j.avsg.2018.12.108. Epub 2019 Apr 20.
Vascular complications such as renal artery or renal vein thrombosis and laceration and iliac artery dissection are rarely encountered after renal transplantation. Timely management of these vascular complications is important to prevent ischemic injury of a transplanted kidney. We hereby report a case of a 60-year-old male who had acute renal dysfunction due to iatrogenic left external iliac artery dissection after renal transplantation. An endovascular stenting of the dissected iliac artery resulted in a brisk flow across both iliac and transplanted renal arteries. The management issues related to this rare vascular complication is discussed in the article.
肾移植后很少遇到诸如肾动脉或肾静脉血栓形成、撕裂伤以及髂动脉夹层等血管并发症。及时处理这些血管并发症对于预防移植肾的缺血性损伤很重要。我们在此报告一例60岁男性患者，其在肾移植后因医源性左髂外动脉夹层而出现急性肾功能障碍。对夹层髂动脉进行血管内支架置入术使双侧髂动脉和移植肾动脉血流恢复通畅。本文讨论了与这种罕见血管并发症相关的处理问题。
