Surgery Department, Section of Transplantation, Armed Forces Hospitals Southern Region, Khamis Mushayt, Saudi Arabia.
Radiology Department, Armed Forces Hospitals Southern Region, Khamis Mushayt, Saudi Arabia.
Transplant Proc. 2022 Dec;54(10):2709-2715. doi: 10.1016/j.transproceed.2022.10.022. Epub 2022 Oct 28.
Allograft artery-infected pseudoaneurysm (PA) represents a rare but life-threatening complication of kidney transplantation (KT). A review of the literature, showed that nearly all these cases ended resulted in graft loss. We presented a case of post-KT-infected external iliac artery anastomotic PA successfully managed by endovascular stenting with graft preservation. Additionally, we reviewed the pertinent literature.
In this article, we described a hypertensive, 47-year-old man who presented 1 month post-cadaveric KT with acute kidney injury and gram-negative bacteremia secondary to a large infectious anastomotic PA of the external iliac artery.
Because of favorable anatomy, successful arterial angio-stent fixation of the main renal artery PA, sparing the lower polar artery, was performed after 1 week of antibiotic and fungal coverage.
Patient was discharged after 2 weeks with functioning graft. Graft function was stable after 3 months.
同种异体移植动脉感染性假性动脉瘤（PA）是肾移植（KT）后一种罕见但危及生命的并发症。对文献的回顾表明，几乎所有这些病例最终都导致移植物丢失。我们报告了一例成功通过血管内支架置入术保留移植物治疗的移植后髂外动脉吻合口感染性 PA。此外，我们还回顾了相关文献。
本文描述了一位 47 岁的高血压男性，在尸体供肾 KT 后 1 个月出现急性肾损伤和革兰氏阴性菌血症，继发于髂外动脉吻合口的大感染性 PA。
由于解剖结构良好，在 1 周的抗生素和真菌覆盖治疗后，成功地进行了主肾动脉 PA 的动脉血管内支架固定术，保留了下极动脉。
患者在接受治疗 2 周后出院，移植物功能正常。3 个月后移植物功能稳定。
