White-Dzuro Claire E, Geanon Demetrios J, Fagel Brian M, Khanolkar Lena, Frantz Shelby K, Baron Christopher M, Imani-Shikhabadi Reza A, Voutsinas Nicholas
Vanderbilt University School of Medicine, Nashville, USA.
Vanderbilt University Medical Center, Nashville, USA.
Abdom Radiol (NY). 2025 Jun 6. doi: 10.1007/s00261-025-05032-5.
Renal transplant is a life-saving treatment option for patients with end-stage renal disease. As with any intervention, transplantation is not without potential complications, which include disruption to arterial, venous and lymphatic structures in the region and can involve either native or transplanted anatomy. Management options range from open surgical intervention to endovascular procedures, the latter of which have become increasingly more prevalent due to their minimally invasive nature. Interventional Radiology has a diverse procedural skillset that can be utilized for successful management of post-transplant complications. Treatment modalities include, but are not limited to, embolization, thrombectomy and stent placement. The goal of this article is to explore common vascular and lymphatic complications that occur following renal transplant and review relevant minimally invasive management options. Positive treatment outcomes are essential to ensure graft, and in turn, patient survival.
肾移植是终末期肾病患者的一种挽救生命的治疗选择。与任何干预措施一样，移植并非没有潜在并发症，其中包括该区域动脉、静脉和淋巴结构的破坏，并且可能涉及原解剖结构或移植解剖结构。管理选项范围从开放手术干预到血管内介入程序，由于其微创性质，后者越来越普遍。介入放射学拥有多种程序技能，可以用于成功处理移植后并发症。治疗方式包括但不限于栓塞、血栓切除术和支架置入。本文的目的是探讨肾移植后发生的常见血管和淋巴并发症，并回顾相关的微创管理选项。积极的治疗结果对于确保移植肾，进而确保患者存活至关重要。
