Rijksen J F, Koolen M I, Walaszewski J E, Terpstra J L, Vink M
J Cardiovasc Surg (Torino). 1982 Mar-Apr;23(2):91-8.
The vascular complications, their management and results of treatment in 400 consecutive renal allotransplants performed at the Leiden University Hospital from March 1966 through July 1979, are presented. There were 50 (12.5%) vascular complications. Among them renal artery stenosis (RAS) occurred in 40 cases (10%), renal artery thrombosis in 7 cases (1.8%), renal vein thrombosis in 2 cases (0.5%) and disruption of the arterial anastomosis in one. Arterial reconstruction was made in 25 patients with RAS, the blood pressure was normalized in 18 patients (72%), in 3 a recurrence of the RAS was found, in another 3 bad results were achieved regarding the blood pressure and in one patient a recurrence of the original glomerulonephritis had taken place. Of the 50 vascular complications 12 patients underwent a removal of the transplant and 3 resulted in death of the patient.
本文介绍了1966年3月至1979年7月在莱顿大学医院连续进行的400例肾移植手术中的血管并发症、处理方法及治疗结果。共有50例（12.5%）发生血管并发症。其中，肾动脉狭窄（RAS）40例（10%），肾动脉血栓形成7例（1.8%），肾静脉血栓形成2例（0.5%），动脉吻合口破裂1例。25例RAS患者接受了动脉重建，18例（72%）患者血压恢复正常，3例RAS复发，另外3例血压控制效果不佳，1例患者原有的肾小球肾炎复发。50例血管并发症患者中，12例接受了移植肾切除，3例患者死亡。
