Garcia Leonardo E, González Javier, Serena Giuseppe, Ciancio Gaetano
Department of Surgery, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, Fla.
Miami Transplant Institute, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, Fla.
J Vasc Surg Cases Innov Tech. 2019 Oct 5;5(4):443-446. doi: 10.1016/j.jvscit.2019.06.002. eCollection 2019 Dec.
Atherosclerosis is common in patients with end-stage renal disease. Severe calcification of the iliac vessels is expected in the growing pool of kidney transplant candidates. Thus, transplant surgeons must constantly develop alternative operative strategies to deal with the technical challenges that this condition confers. This case report aims to highlight a reconstructive vascular technique to salvage a completely calcified recipient external iliac artery using a deceased donor's arterial iliac allograft from the same donor as the renal allograft in a 59-year-old man, as an effective method to decrease vascular complications.
动脉粥样硬化在终末期肾病患者中很常见。在越来越多的肾移植候选者中，髂血管严重钙化是可以预期的。因此，移植外科医生必须不断开发替代手术策略，以应对这种情况带来的技术挑战。本病例报告旨在强调一种重建血管技术，该技术使用来自同一供体的已故供体髂动脉同种异体移植物，挽救一名59岁男性患者完全钙化的受体髂外动脉，作为一种减少血管并发症的有效方法。
