Endovascular Repair of Renal Artery Aneurysm in a Transplanted Kidney	 30

Janho, Kristi; Shishani, Jan Mohammad; Habboub, Hazem

doi:10.5001/omj.2019.31

Cited by 4 publications

(5 citation statements)

References 6 publications

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“…Indications for intervention reported in literature are symptomatic aneurysm, size more than 2.5cm, rapid increase in size with impending rupture [3].…”

Section: Discussionmentioning

confidence: 99%

“…A multidisciplinary meeting was held with a radiologist, vascular surgeon and urologist and discussed treatment options for TRAA including endovascular stenting, percutaneous thrombin injection and surgical repair. Endovascular stenting is often used in renal artery pseudoaneurysm and it requires adequate proximal and distal landing zone [3]. Endovascular approach was excluded due to the short take off of the renal artery and lack of proper landing zone (Fig.…”

Section: Therapeutic Interventionmentioning

confidence: 99%

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In vivo successful repair of transplant renal artery aneurysm (TRAA) made possible in an Asian transplant unit.

Wong

et al. 2023

Preprint

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Background Transplant renal artery aneurysm (TRAA) is rare. TRAA that develops post transplantation consists of 0.10% of the vascular complications post renal transplant. [1, 2]Case Presentation: We report a case of TRAA in an asymptomatic young female. CT angiogram with detailed 3D reconstruction showed a 2.6 x 2.2 cm wide neck saccular TRAA arising from the anterior segmental branch of the graft renal artery (Figs. 2 & 3). A multidisciplinary team of interventional radiologists, vascular and urologist was involved for preoperative surgical planning and unique repair methods. Endovascular and percutaneous approaches were deemed not feasible, and an open in vivo approach with a saphenous vein graft was taken.Conclusion TRAA, albeit rare, is a complication that can occur post renal transplant. In-vivo surgical repair of TRAA is feasible with a multidisciplinary approach and careful preoperative planning. Saphenous vein graft is still a versatile graft and can be used as a conduit successfully.

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“…Indications for intervention reported in literature are symptomatic aneurysm, size more than 2.5cm, rapid increase in size with impending rupture [3].…”

Section: Discussionmentioning

confidence: 99%

Section: Therapeutic Interventionmentioning

confidence: 99%

In vivo successful repair of transplant renal artery aneurysm (TRAA) made possible in an Asian transplant unit.

Wong

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…True aneurysm is often idiopathic and association with immunological etiology is yet to be proven [ 8 ]. Indications for intervention reported in literature are symptomatic aneurysm, size more than 2.5 cm, rapid increase in size with impending rupture [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…A multidisciplinary meeting was held with a radiologist, vascular surgeon and urologist and treatment options were discussed for TRAA including endovascular stenting, percutaneous thrombin injection and surgical repair. Endovascular stenting is often used in renal artery pseudoaneurysm and it requires adequate proximal and distal landing zone [ 2 ]. Endovascular approach was excluded due to the short take off of the renal artery and lack of proper landing zone (Fig.…”

Section: Therapeutic Interventionmentioning

confidence: 99%

Successful repair of transplant renal artery aneurysm (TRAA)

Ho,

So,

Wong

et al. 2023

BMC Urol

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Background Transplant renal artery aneurysm (TRAA) is rare. TRAA that develops post transplantation consists of 0.10% of the vascular complications post renal transplant (Transplant Proc 41:1609-1614, 2009; Indian J Urol 29:42-47, 2013). Case presentation We report a case of TRAA in an asymptomatic young female. CT angiogram with detailed 3D reconstruction showed a 2.6 × 2.2 cm wide neck saccular TRAA arising from the anterior segmental branch of the graft renal artery (Figs. 2 and 3). A multidisciplinary team of interventional radiologists, vascular and urologist was involved for preoperative surgical planning and unique repair methods. Endovascular and percutaneous approaches were deemed not feasible, and an open in vivo approach with a saphenous vein graft was taken. Conclusion TRAA, albeit rare, is a complication that can occur post renal transplant. In-vivo surgical repair of TRAA is feasible with a multidisciplinary approach and careful preoperative planning. Saphenous vein graft is still a versatile graft and can be used as a conduit successfully.

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“…Open surgical repair and endovascular repair are currently reported treatment options for managing extra-renal false aneurysms with associated stenosis of the allograft in the iliac artery. Therefore, many minimally invasive procedures, such as percutaneous transluminal angioplasty and stent placement, are valid options for treatment and provide high technical success, as it is a safe and less invasive modality with a shorter length of hospital stay [16].…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm and Renal Artery Stenosis Post-renal Transplant: A Rare Presentation

Alattab,

Suliman,

Wani

et al. 2023

Cureus

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We report the case of a 51-year-old gentleman who underwent living renal transplantation in Pakistan for end-stage renal disease one and a half years ago. He presented to our hospital with renal artery stenosis and an extra-renal pseudoaneurysm at the anastomotic site of the transplanted kidney. This can cause graft dysfunction and hypertension due to impairment of arterial perfusion in the transplanted kidney. Treatment with percutaneous transluminal angioplasty and covered stenting of the pseudoaneurysm and stenosis improved kidney function and hypertension.

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Endovascular Repair of Renal Artery Aneurysm in a Transplanted Kidney 30

Cited by 4 publications

References 6 publications

In vivo successful repair of transplant renal artery aneurysm (TRAA) made possible in an Asian transplant unit.

In vivo successful repair of transplant renal artery aneurysm (TRAA) made possible in an Asian transplant unit.

Successful repair of transplant renal artery aneurysm (TRAA)

Pseudoaneurysm and Renal Artery Stenosis Post-renal Transplant: A Rare Presentation

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