Restoration of renal allograft function by endovascular stenting of an iliac artery dissection

Delles, Christian; Wittmann, Michael; Renders, Lutz; Kunzendorf, Ulrich; Böhner, C; Wutke, Ralf; Lang, Werner; Schott, G.; Rupprecht, Harald

doi:10.1093/ndt/17.6.1116

Cited by 14 publications

(11 citation statements)

References 7 publications

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“…To our knowledge, only 5 cases have been reported to date (Table 1). [2][3][4][5][6] Of them, the former 4 cases occurred several days after operation, and the fifth case was noticed during the operation. Our case was the first one that was found right after operation.…”

Section: Discussionmentioning

confidence: 99%

“…Atherosclerosis and operative trauma (eg, clamping of the artery during anastomosis) can lead to early graft loss and acute or chronic graft failure because of vascular lesions. [2][3][4][5][6] In cases with serious symptoms, treatment consists of bypass surgery 2 or endovascular stent insertion. [2][3][4][5][6] Fortunately, DEIA is still rare compared with the prevalence of atherosclerosis, even in high-risk patients, but clinicians should be alert to the possibility of DEIA.…”

Section: Shang-feng Tsai Et Al /Experimental and Clinical Transplantamentioning

confidence: 99%

“…[2][3][4][5][6] In cases with serious symptoms, treatment consists of bypass surgery 2 or endovascular stent insertion. [2][3][4][5][6] Fortunately, DEIA is still rare compared with the prevalence of atherosclerosis, even in high-risk patients, but clinicians should be alert to the possibility of DEIA. Dissection can be avoided by gentle and careful handling of the EIA and avoidance of excessive traction, cannulation for transplant perfusion or surgical clamping, kinking or torsion of the vessels.…”

Section: Shang-feng Tsai Et Al /Experimental and Clinical Transplantamentioning

confidence: 99%

“…We believe it occurs after vascular injury, such as with angiography, 2 and traumatic handling [2][3][4][5] immediately or delayed after RTx, but congenital defects such as anomalies of the external iliac artery also may lead to spontaneous occurrence at various times after surgery. Therefore, clinicians should be suspect to any suspicious clinical manifestations.…”

Section: Shang-feng Tsai Et Al /Experimental and Clinical Transplantamentioning

confidence: 99%

“…1 The dissection of the external iliac artery (DEIA) is rare, and to our knowledge, only 6 cases have been reported thus far. Most cases occurred during trauma handling [2][3][4][5] ; only 1 case involved spontaneous dissection. 6 Three cases were managed by percutaneous transluminal angioplasty with a stent and 1 case was given bypass surgery.…”

Section: Introductionmentioning

confidence: 99%

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Salvage of External Iliac Artery Dissection Immediately After Renal Transplant

Tsai¹,

Chen²,

Hsieh³

et al. 2013

Exp Clin Transplant

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Renal transplant is the preferred treatment for patients with uremia. The renal transplant procedure is well established with a high success rate, but surgical complications are encountered occasionally. We report a case of sudden onset of anuria of the graft kidney owing to acute external iliac artery dissection diagnosed by Doppler sonography. Urgent endarterectomy with thrombus removal of false lumen prevented ischemia and occlusion of the right femoral artery. Without accurate diagnosis and management, this complication could have caused graft loss and death. We believe that renal transplant requires attentive teamwork to keep the graft functioning well.

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