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.
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。
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