Teh W L, King C M, Dacie J E
Department of Radiology, St Bartholomew's Hospital, London.
Clin Radiol. 1995 Feb;50(2):111-4. doi: 10.1016/s0009-9260(05)82992-7.
We present three renal transplant patients who have been investigated for leg ischaemia on the side of the transplant. All were men aged between 50 and 57 years. Two had an iliac stenosis proximal to the transplant kidney and were treated successfully by percutaneous transluminal angioplasty. The other, with an internal iliac anastomosis, had occlusion of the external iliac artery and underwent femoro-femoral bypass grafting. Eight years later, almost 17 years after transplantation, this hyperlipidaemic patient was found to have an internal iliac origin stenosis proximal to the transplant kidney and also underwent successful angioplasty. In patients with functioning renal transplants, symptoms of arterial insufficiency in the ipsilateral leg should be investigated urgently because a proximal iliac stenosis potentially threatens graft survival.
我们报告了三名接受肾移植的患者，他们因移植侧下肢缺血而接受了检查。所有患者均为男性，年龄在50至57岁之间。其中两名患者在移植肾近端存在髂动脉狭窄，通过经皮腔内血管成形术成功治疗。另一名患者进行了髂内动脉吻合，其髂外动脉闭塞，接受了股-股旁路移植术。八年后，即移植后近17年，这名高脂血症患者在移植肾近端发现髂内动脉起始部狭窄，也成功接受了血管成形术。对于肾移植功能良好的患者，同侧下肢动脉供血不足的症状应紧急进行检查，因为近端髂动脉狭窄可能威胁移植肾的存活。
