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
Abstract
Keywords
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
References
1 Srivastava A, Kumar J, Sharma S, Abhishek, Ansari MS, Kapoor R. Vascular complication in live related renal transplant: an experience of 1945 cases. Indian J Urol. 2013;29(1):42-7.
2 Dimitroulis D, Bokos J, Zavos G, et al. Vascular complications in renal transplantation: a single-center experience in 1367 renal transplantations and review of the literature. Transplant Proc. 2009;41(5):1609-14.
3 Salehipour M, Salahi H, Jalaeian H, et al. Vascular complications following 1500 consecutive living and cadaveric donor renal transplantations: a single center study. Saudi J Kidney Dis Transpl. 2009;20(4):570-2. PMid:19587495.
4 Ayvazoglu Soy EH, Akdur A, Kirnap M, Boyvat F, Moray G, Haberal M. Vascular Complications After Renal Transplant: A Single-Center Experience. Exp Clin Transplant. 2017;15(Suppl 1):79-83. PMid:28260440.
5 Hurst FP, Abbott KC, Neff RT, et al. Incidence, predictors and outcomes of transplant renal artery stenosis after kidney transplantation: analysis of USRDS. Am J Nephrol. 2009;30(5):459-67.
6 Tsai S-F, Chen C-H, Hsieh S-R, Shu K-H, Ho H-C. Salvage of external iliac artery dissection immediately after renal transplant. Exp Clin Transplant. 2013;11(3):274-7.
7 Benoit G, Moukarzel M, Hiesse C, Verdelli G, Charpentier B, Fries D. Transplant renal artery stenosis: experience and comparative results between surgery and angioplasty. Transpl Int. 1990;3(3):137-40.
8 Seratnahaei A, Shah A, Bodiwala K, Mukherjee D. Management of transplant renal artery stenosis. Angiology. 2011;62(3):219-24.
9 Marini M, Fernandez-Rivera C, Cao I, et al. Treatment of transplant renal artery stenosis by percutaneous transluminal angioplasty and/or stenting: study in 63 patients in a single institution. Transplant Proc. 2011;43(6):2205-7.
10 Merkus JW, Dun GC, Reinaerts HH, Huysmans FT. Iliac artery dissection after renal transplantation. Nephrol Dial Transplant. 1992;7(12):1242-5.
11 Dar TI, Tyagi V, Khawaja AR, Chadha S, Jauhari H. External iliac artery polytetrafluoroethylene graft interposition: An effective rescuer for kidney transplant in progressive intimal dissection of external iliac artery. Urol Ann. 2016;8(2):223-5.
12 Kimura T, Saito T, Tsuchiya T, et al. Treatment of external iliac artery dissection with endovascular stent placement in a patient with simultaneous pancreas and kidney transplantation. Transplant Proc. 2005;37(8):3572-3.
13 Vijayvergiya R, Sharma A, Singh S, Kanabar K. Endovascular treatment of an external iliac artery dissection causing early renal graft dysfunction. Ann Vasc Surg. 2019;59:312.e7-9.
Submitted date:
03/19/2021
Accepted date:
06/29/2021
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email