Endovascular stenting with a drug-eluting stent of transplanted renal artery stenosis in a dual kidney transplanted patient
Tratamento endovascular com stent farmacológico em estenose de artéria renal transplantada de paciente com transplante renal duplo
Rajesh Vijayvergiya; Navjyot Kaur; Ganesh Kasinadhuni; Ashish Sharma; Anupam Lal; Ashwani Sood
Abstract
Keywords
Resumo
Resumo: O transplante renal continua sendo a terapia preferida para doenças renais em fase terminal. Dada a escassez de rins de doadores adequados, o doador com critérios expandidos permite que rins marginais sejam transplantados, embora haja um maior risco de falha do enxerto devido à diminuição da massa nefrótica. Para diminuir o risco de falha do enxerto, recomenda-se o transplante renal duplo (TRD), com resultados favoráveis. A estenose de artéria renal transplantada (EART) é uma das complicações vasculares mais comuns após o transplante renal. Ao contrário dos transplantes de rim simples, nos quais a EART geralmente se manifesta como sobrecarga de fluido, hipertensão descontrolada e piora das funções renais, ela pode ser clinicamente silenciosa em pacientes com TRD, pois eles têm dois rins funcionais transplantados. Relatamos aqui um caso de EART em um paciente com TRD que teve resultados clínicos favoráveis por dois anos após o sucesso do implante de stent endovascular. No entanto, ele morreu recentemente de pneumonite associada à covid-19.
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References
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