Gunawardena Thilina
From the Department of Renal Transplant, Royal Liverpool University Hospital, Liverpool, United Kingdom.
Exp Clin Transplant. 2022 Apr;20(4):333-341. doi: 10.6002/ect.2021.0303. Epub 2021 Nov 10.
Renal transplant is the treatment of choice for endstage renal failure. Since the first successful kidney transplant in 1954, advances in immunosuppression, surgical techniques, and posttransplant medical care have drastically improved the outcomes of this procedure. Despite these advances, surgical complications after renal transplant remain a challenge that can result in serious morbidity, graft loss, and recipient mortality. A significant proportion of surgical complications will have a vascular origin. Some of these vascular complications can cause irreversible damage to the transplanted kidney unless they are identified and treated urgently. In this review, common vascular complications of renal transplant are discussed, with emphasis on their mode of presentation, diagnosis, current management, and outcomes. Such knowledge can be useful for transplant clinicians, for prompt diagnosis and appropriate management of these complications.
肾移植是终末期肾衰竭的首选治疗方法。自1954年首次成功进行肾脏移植以来，免疫抑制、手术技术和移植后医疗护理方面的进展极大地改善了该手术的效果。尽管有这些进展，但肾移植后的手术并发症仍然是一个挑战，可能导致严重的发病率、移植物丢失和受者死亡。相当一部分手术并发症将源于血管。其中一些血管并发症会对移植肾造成不可逆转的损害，除非及时识别并治疗。在本综述中，将讨论肾移植常见的血管并发症，重点是它们的表现方式、诊断、当前管理和结果。这些知识对移植临床医生及时诊断和妥善处理这些并发症可能会有所帮助。
