Renal Artery Aneurysm at the Anastomosis After Kidney Transplantation

Asztalos, László; Olvasztó, Sándor; Fejes, R; Szabó, L.; Balázs, György; Lukács, G

doi:10.1016/j.transproceed.2006.08.115

Cited by 31 publications

(28 citation statements)

References 9 publications

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“…3,7,8 In addition to any degree of graft dysfunction, extrarenal pseudoaneurysms of transplanted kidneys may also cause the loss of the graft. [2][3][4] Rupture of the pseudoaneurysm is a probable serious complication and may cause death of the patient. Therefore, extrarenal pseudoaneurysms of transplanted kidneys must be treated.…”

Section: Discussionmentioning

confidence: 99%

“…Although surgical repair or transplant nephrectomy was most commonly used, Fujikata et al reported a case of conservative treatment for mycotic aneurysm without rupture. 4,6,9,10 In recent years, endovascular or percutaneous treatment of extrarenal pseudoaneurysms has been widely used. Although endovascular embolization is the most suitable technique in the treatment of intrarenal pseudoaneurysms and fistulas, there are limited endovascular techniques for treatment of the extrarenal pseudoaneurysms of transplanted kidneys.…”

Section: Discussionmentioning

confidence: 99%

“…They may be devastating and cause functional impairment and even loss of the graft. [1][2][3][4] Treatment for this abnormality is necessary for the viability of the graft.…”

Section: Introductionmentioning

confidence: 99%

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Extrarenal Pseudoaneurysm of the Arterial Anastomosis in a Renal Transplant: Endovascular Coil Embolization with Balloon Remodeling Technique

et al. 2011

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Anastomotic pseudoaneurysms of transplanted kidneys are a very rare complication and encountered in less than 1% of such operations. They may be devastating and cause functional impairment and even loss of the graft. In this report, we present the first case of treatment of extrarenal pseudoaneurysm of arterial anastomosis in a renal transplant patient with endovascular coil embolization with the balloon remodeling technique. This method is mostly used in the treatment of wide-neck intracranial aneurysms.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Extrarenal Pseudoaneurysm of the Arterial Anastomosis in a Renal Transplant: Endovascular Coil Embolization with Balloon Remodeling Technique

et al. 2011

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“…20 are reported to present with fever, anemia, compression of adjacent structures, hypertension, functional impairment, graft loss and life threatening hemorrhage due to acute rupture. 5,10,14,15,19,20,[22][23][24][25] There are no identified physical findings specific to these false aneurysms. Physical examination should identify any existing tenderness, pulsatile masses, thrill or bruit.…”

Section: Discussionmentioning

confidence: 99%

Transplant Renal Artery False Aneurysm: Case Report and Literature Review

Al-Wahaibi¹

2010

OMJ

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This is a case report of a 59 years old male who had a commercial non-related living renal transplantation for his end stage renal insufficiency secondary to adult polycystic kidney disease. He suffered an immediate and early post-operative bleeding, which was managed conservatively. He was presented at Sultan Qaboos University Hospital four months after his transplant with abdominal pain, nausea, loss of appetite and a rise in serum creatinine levels. Ultrasonography and angiography have shown a 4 cm false aneurysm of the transplant renal artery at the anastomotic site with the external iliac artery. Surgical exploration with resection of the false aneurysm and reanastomosis of the donor renal artery to the external iliac artery was carried out successfully with preservation of the renal allograft. This is a rare case of an extra-renal false aneurysm at the anastomotic site of the transplant renal artery to the external iliac artery four months after renal allotransplantation. Literature review on the management and outcome of false aneurysms after renal transplant was carried out.

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“…Vascular complications are uncommon (1-3%) in kidney transplantation, but recipient morbidities may result in loss of the allograft. Many studies report the significant influence of vascular complications on the graft's durability [3,4]. Early and middle-term vascular complications include external iliac artery iatrogenic or spontaneous lesions and drainage vein thrombosis.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Endovascular Repair and Savage of Vascular Stream After Spontaneous and/or Iatrogenic Complications of Kidney Transplantation

Cillis¹,

Bortone²,

Ditonno³

et al. 2009

VDP

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Background: Vascular complications are uncommon (1-3%) in kidney transplantation. Recipient morbidities may result in loss of the allograft. Early and middle-term vascular complications include external iliac artery iatrogenic or spontaneous lesions and drainage vein thrombosis. Percutaneous transluminal angioplasty (PTA) is proposed as a valid, less invasive and alternative treatment to surgical repair. Material and Methods: Three patients, in the last two years, referred to our Institute: one affected by dissection secondary to the site clamp and suture stenosis of the external iliac artery, one spontaneous pseudoaneurysm with uncontained rupture of the same artery and another with pseudoaneurysm at the site of previous transplantation. All patients were treated by endovascular PTA approach. Patients with pseudo-aneurysm were treated by self-expandable stent-graft PTFE endoprostheses (Hemobahn-Gore) release whereas in the other a balloon-expandable covered stent (Advanta V12 Boston Scientific) was used.Results: After treatment clinical, ultrasonographic and Doppler parameters showed a complete functional recovery of ileofemoral axis as well renal function. All patients were discharged 5 days after the procedure. At an average follow-up of 12 months, by angio-CT scan, no recurrence of stenoses or aneurysms were found. Conclusion: PTA followed by stent placement is safe, effective and less invasive than surgical repair. Short and middleterm follow-up showed the benefit of the procedure, moreover the hospital stay is dramatically reduced. All renal allograft recipients, with vascular complications, should undergo to PTA procedure as a first option.

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Renal Artery Aneurysm at the Anastomosis After Kidney Transplantation

Cited by 31 publications

References 9 publications

Extrarenal Pseudoaneurysm of the Arterial Anastomosis in a Renal Transplant: Endovascular Coil Embolization with Balloon Remodeling Technique

Extrarenal Pseudoaneurysm of the Arterial Anastomosis in a Renal Transplant: Endovascular Coil Embolization with Balloon Remodeling Technique

Transplant Renal Artery False Aneurysm: Case Report and Literature Review

Percutaneous Endovascular Repair and Savage of Vascular Stream After Spontaneous and/or Iatrogenic Complications of Kidney Transplantation

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