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髂动脉双侧动脉硬化闭塞症介入治疗后活体肾供体原位肾移植：一例报告及文献复习

Orthotopic kidney transplantation from a living renal donor after interventional therapy for bilateral arteriosclerosis obliterans of the iliac arteries: A case report and literature review.

作者信息

Ohyama Takehiro, Sasaki Hajime, Minamisono Kyoko, Nishida Sho, Iwami Daiki

机构信息

Division of Renal Surgery and Transplantation, Department of Urology Jichi Medical University Hospital Tochigi Japan.

出版信息

IJU Case Rep. 2023 Sep 14;6(6):428-432. doi: 10.1002/iju5.12640. eCollection 2023 Nov.

DOI:10.1002/iju5.12640
PMID:37928296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10622225/
Abstract

INTRODUCTION

Orthotopic kidney transplantation is an option when heterotopic kidney transplantation into the iliac fossa is inappropriate. We report a case of orthotopic kidney transplantation following stenting of both external iliac arteries to treat arteriosclerosis obliterans.

CASE PRESENTATION

A 56-year-old woman on hemodialysis for end-stage kidney disease underwent living-donor kidney transplantation. Desensitization therapy was administered because of her history of sensitization by pregnancy. Stents had been placed previously in both external iliac arteries. The left kidney was removed via an oblique lumbar incision. The two graft arteries were conjoined and anastomosed to the native renal artery end-to-end. The urinary tract was reconstructed by uretero-ureterostomy with ureteral stent placement. Renal function improved promptly after surgery.

CONCLUSION

Preoperative imaging of vascular anatomy is important for successful orthotopic kidney transplantation in patients who have previously undergone stenting of both external iliac arteries for arteriosclerosis obliterans.

摘要

引言

当在髂窝进行异位肾移植不合适时，原位肾移植是一种选择。我们报告一例在双侧髂外动脉支架置入治疗闭塞性动脉硬化后进行原位肾移植的病例。

病例介绍

一名因终末期肾病接受血液透析的56岁女性接受了活体供肾移植。因其有妊娠致敏史，故给予脱敏治疗。此前双侧髂外动脉已放置支架。通过斜向腰部切口切除左肾。将两根移植肾动脉连接并与自体肾动脉端端吻合。通过输尿管-输尿管吻合术并放置输尿管支架重建尿路。术后肾功能迅速改善。

结论

对于既往因闭塞性动脉硬化而双侧髂外动脉已放置支架的患者，术前血管解剖成像对于成功进行原位肾移植很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d195/10622225/ba16fb0ae927/IJU5-6-428-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d195/10622225/e503ada791d8/IJU5-6-428-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d195/10622225/665976a1bb85/IJU5-6-428-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d195/10622225/ba16fb0ae927/IJU5-6-428-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d195/10622225/e503ada791d8/IJU5-6-428-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d195/10622225/665976a1bb85/IJU5-6-428-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d195/10622225/ba16fb0ae927/IJU5-6-428-g001.jpg

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Orthotopic kidney transplantation from a living renal donor after interventional therapy for bilateral arteriosclerosis obliterans of the iliac arteries: A case report and literature review.髂动脉双侧动脉硬化闭塞症介入治疗后活体肾供体原位肾移植：一例报告及文献复习
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Orthotopic Kidney Transplant as a Fifth Intra-Abdominal Organ after Two Previous Kidney and Two Previous Pancreas Transplants.在先前已进行过两次肾脏移植和两次胰腺移植后，原位肾脏移植作为第五个腹腔内器官。
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