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Our experiences on endovascular and hybrid treatment of peripheral arterial diseases.我们在外周动脉疾病血管内及杂交治疗方面的经验。
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2
Endovascular Repair of Renal Artery Anastomotic Pseudoaneurysm Following Living Donor Kidney Transplant.活体供肾肾移植术后肾动脉吻合口假性动脉瘤的血管腔内修复术
Cardiovasc Intervent Radiol. 2015 Dec;38(6):1640-4. doi: 10.1007/s00270-015-1136-x. Epub 2015 Jun 3.
3
Endovascular interventions for managing vascular complication of renal transplantation.肾移植血管并发症的血管内介入治疗。
Semin Vasc Surg. 2013 Dec;26(4):205-12. doi: 10.1053/j.semvascsurg.2014.06.013. Epub 2014 Jun 27.
4
Endovascular repair of a transplant renal artery anastomotic pseudoaneurysm using the snorkel technique.采用通气管技术对移植肾动脉吻合口假性动脉瘤进行血管腔内修复。
J Vasc Surg. 2014 Oct;60(4):1052-5. doi: 10.1016/j.jvs.2013.07.016. Epub 2013 Aug 28.
5
Kidney transplantation and large anastomotic pseudoaneurysm. Transplant management considerations.
Ann Ital Chir. 2013 May-Jun;84(3):275-9.
6
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.
7
Extrarenal pseudoaneurysm of the arterial anastomosis in a renal transplant: endovascular coil embolization with balloon remodeling technique.移植肾动脉吻合处肾外假性动脉瘤:血管内线圈栓塞联合球囊重塑技术。
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8
Surgical treatment of an extrarenal pseudoaneurysm after kidney transplantation.肾移植术后肾外假性动脉瘤的外科治疗
Vasc Endovascular Surg. 2009 Jun-Jul;43(3):317-21. doi: 10.1177/1538574409331697. Epub 2009 Feb 17.
9
Iliofemoral bypass surgery for lower limb ischaemia. A follow-up of 62 patients.用于下肢缺血的髂股动脉搭桥手术。62例患者的随访。
Ann Chir Gynaecol. 1986;75(3):155-9.

移植肾、肾动脉狭窄和巨大假性动脉瘤:我们如何尝试治疗、为何失败以及如何应对?

Transplanted kidney, stenotic renal artery, and a giant pseudoaneurysm: How we tried to treat, Why we failed, and How we managed?

作者信息

Uğurlucan Murat, Önal Yılmaz, Öztaş Didem Melis, Odabaş Ali Rıza, Alpagut Ufuk

机构信息

Department of Cardiovascular Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey.

Department of Radiology, Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2019 Jan 1;27(1):114-117. doi: 10.5606/tgkdc.dergisi.2019.16492. eCollection 2019 Jan.

DOI:10.5606/tgkdc.dergisi.2019.16492
PMID:32082837
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7021360/
Abstract

Donor and recipient artery problems are challenging complications in renal transplant patients. In this report, we present our treatment strategy in a 42-year-old renal transplant case with renal artery stenosis and a giant pseudoaneurysm at the anastomotic site. Open repair failed due to extreme adhesions. However, the patient was managed successfully using the hybrid approach with iliofemoral bypass and stent graft implantation to the renal artery, providing retrograde renal artery perfusion.

摘要

供体和受体动脉问题是肾移植患者面临的具有挑战性的并发症。在本报告中,我们介绍了我们对一名42岁肾移植患者的治疗策略,该患者在吻合部位出现肾动脉狭窄和巨大假性动脉瘤。由于粘连严重,开放修复失败。然而,通过采用髂股旁路移植术和肾动脉支架植入术的混合方法,为患者成功实施了治疗,实现了肾动脉逆行灌注。