Renal artery infectious (mycotic) pseudoaneurysms in renal transplantation recipients

Candida chorioretinitis in renal transplant recipient with candidemia related to contaminated organ preservation fluid: A role for dilated fundus examination in its management

“…The incidence of fungal PF contamination in kidney transplant varies between 0.86% and 14.4% [7] , [8] , [9] , [10] . However, incidence of mycotic pseudoaneurysm remains rare (< 1%) but has led American Society of Transplantation to recommend pre-emptive antifungal therapy when PF cultures yield Candida [11] , [12] , [13] .…”

Management of Transplant Renal Artery Pseudoaneurysm and Literature Review

“…Additionally, prolonged ICU stays (>7 days) and extended operative times are associated with increased incidence [ 15 ]. Intuitively, age should be a risk factor for all operative complications, but this association is not reflected in the data [ 16 ]. Procurement of organs, transportation, back-table preparation, and transplantation involve countless opportunities for inadvertent contamination; the likelihood of transplant contamination is estimated at 40% [ 12 ].…”

“…Indications for repair of an EPSA are controversial, but pseudoaneurysms with a diameter of >2.5 cm are almost uniformly at a high risk of rupture [ 1 , 7 , 15 , 16 , 19 ]. Additional intervention indications include symptom severity, rate of size enlargement, presence of infection, and renal artery hypertension [ 1 , 15 ].…”

“…In such scenarios, a transplant nephrectomy may be performed later based on the patient's clinical condition (development of allograft abscess, etc.). The authors, including Lin et al and Cano-Velasco et al, have compiled past articles on this subject, and Cano-Velasco et al proposed a treatment algorithm based on these reports [ 8 , 16 ].…”

Same Clinical Reality of Spontaneous Rupture of the Common Iliac Artery with Pseudoaneurysm Formation—Comparison of Two Therapeutical Solutions, Endovascular Stent-Graft and Open Surgical Correction, for Two Cases and Review of the Literature

“…In the presence of local mass effects and in cases where interventional treatment has failed, open surgery is considered the method of choice. Many recommend it in patients with infected pseudoaneurysms, but the infection is not an absolute contraindication to endovascular techniques and management should be tailored to every case [ 11 , 12 , 13 , 14 , 15 ]. Surgical treatment disadvantages, such as long hospitalization time, requirement of general anesthesia, impaired wound healing, and an association with a higher morbidity and mortality rate, have shifted interest towards endovascular procedures.…”