Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.210035
Jornal Vascular Brasileiro
Case Report

Simultaneous endovascular revascularization of external iliac artery dissection and transplant renal artery stenosis in a recent renal allograft recipient

Revascularização endovascular simultânea de dissecção da artéria ilíaca externa e de estenose da artéria renal transplantada em receptor recente de aloenxerto renal

Rajesh Vijayvergiya; Atit Gawalkar; Ganesh Kasinadhuni; Ashish Sharma; Sarbpreet Singh; Anupam Lal

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Abstract

Abstract: Various vascular complications following renal transplantation include renal artery and vein thrombosis, renal artery stenosis, pseudoaneurysm, and iliac artery dissection. Transplant renal artery stenosis (TRAS) is the most common, while iliac artery dissection is the rarest of these various vascular complications. We describe an elderly male, who had both external iliac artery dissection and TRAS at 2 months following renal transplantation. He underwent successful percutaneous endovascular intervention of both complications. The post-intervention course was uneventful, with improvement in graft renal functions and left lower limb perfusion.

Keywords

endovascular stent, iliac artery dissection, renal artery angioplasty, renal transplantation, transplant renal artery stenosis

Resumo

Resumo: As diversas complicações vasculares possíveis após um transplante renal incluem trombose da veia e artéria renais, estenose da artéria renal, pseudoaneurisma e dissecção da artéria ilíaca. Entre essas diversas complicações, a estenose da artéria renal transplantada é a mais comum, enquanto a dissecção da artéria ilíaca é a mais rara. Relatamos o caso de um homem idoso que desenvolveu tanto dissecção da artéria ilíaca quanto estenose da artéria renal transplantada 2 meses após transplante renal. As intervenções endovasculares percutâneas foram bem-sucedidas em ambas as complicações. O período pós-intervenção cursou sem complicações, com melhora na função renal do enxerto e na perfusão do membro inferior esquerdo.
 

Palavras-chave

stent endovascular, dissecção da artéria ilíaca, angioplastia da artéria renal, transplante renal, estenose da artéria renal transplantada

References

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Submitted date:
03/19/2021

Accepted date:
06/29/2021

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