Volume 5 Issue 1
Jan.  2014
Turn off MathJax
Article Contents
Ming Yingzi, Zhou Wei, Ye Shaojun, et al. Replacement of external iliac artery by reversed great saphenous vein for the treatment of vascular complications after renal transplantation: a report of 2 cases[J]. ORGAN TRANSPLANTATION, 2014, 5(1): 32-34. doi: 10.3969/j.issn.1674-7445.2014.01.008
Citation: Ming Yingzi, Zhou Wei, Ye Shaojun, et al. Replacement of external iliac artery by reversed great saphenous vein for the treatment of vascular complications after renal transplantation: a report of 2 cases[J]. ORGAN TRANSPLANTATION, 2014, 5(1): 32-34. doi: 10.3969/j.issn.1674-7445.2014.01.008

Replacement of external iliac artery by reversed great saphenous vein for the treatment of vascular complications after renal transplantation: a report of 2 cases

doi: 10.3969/j.issn.1674-7445.2014.01.008
  • Received Date: 2013-11-08
    Available Online: 2021-01-19
  • Publish Date: 2014-01-15
  •   Objective   To investigate the treatment of vascular complications after renal transplantation and the replacement therapy of blood vessels in an emergency.   Method   Two patients with repeated external iliac artery bleeding after renal transplantation received treatment in Transplantation Center of the Third Xiangya Hospital of Central South University from December 2009 to March 2012. After surgical exploration, the reason of bleeding was burst of the anastomotic external iliac artery in two cases. Then anastomotic external iliac artery was removed and the ipsilateral autologous limb's great saphenous vein was taken for reversed replacement of external iliac artery.   Result   Both patients recovered well after the operation with normal lower limb blood supply and free walk. One patient survived for four years with no postoperative bleeding again. Another patient had recovered for more than one year with normal the lower limb blood supply.   Conclusion   Repeated external iliac artery rupture hemorrhage after renal transplantation is one of the serious complications which results in death. Emergency treatment is very important and autologous vascular reconstruction may be a more effective and convenient treatment.

     

  • loading
  • [1]
    Pawlicki J, Cierpka L, Król R,et al. Risk factors for early hemorrhagic and thrombotic complications after kidney transplantation[J].Transplant Proc, 2011, 43(8):3013-3017. doi: 10.1016/j.transproceed.2011.07.018
    [2]
    Liu KY, Tsai PJ, King KL,et al. Pseudoaneurysm of the iliac artery secondary to Aspergillus infection after kidney transplantation[J]. J Chin Med Assoc, 2009, 72(12):654-656. doi: 10.1016/S1726-4901(09)70450-2
    [3]
    Chaer RA, Barbato JE, Lin SC,et al.Isolated iliac artery aneurysms: a contemporary comparison of endovascular and open repair[J].J Vasc Surg, 2008,47(4):708-713. doi: 10.1016/j.jvs.2007.11.008
    [4]
    Monahan DA, Neville HL, Saigal GM,et al. Infected common iliac artery aneurysm repaired in an infant with cadaveric vein graft[J]. J Pediatr Surg, 2012, 47(3):606-608. doi: 10.1016/j.jpedsurg.2012.01.011
    [5]
    Vaccarisi S, Bonaiuto E, Spadafora N, et al. Complications and graft survival in kidney transplants with vascular variants: our experience and literature review[J]. Transplant Proc,2013,45(7):2663-2665. doi: 10.1016/j.transproceed.2013.07.007
    [6]
    Gargah T, Abidi K, Rajhi H, et al. Vascular complications after pediatric kidney transplantation[J]. Tunis Med,2011,89(5):458-461. http://cn.bing.com/academic/profile?id=2337727045&encoded=0&v=paper_preview&mkt=zh-cn
    [7]
    Barba Abad J, Rincón Mayans A, Tolosa Eizaguirre E, et al. Surgical complications in kidney transplantation and their influence on graft survival[J]. Actas Urol Esp(西班牙文),2010,34(3):266-273. doi: 10.1016/j.acuro.2009.12.008
    [8]
    Nguan CY, Luke PP.Renal artery pseudoaneurysm of infectious etiology: a life-threatening complication after renal transplantation[J]. Urology, 2006, 68(3):668-669. doi: 10.1016/j.urology.2006.04.017
    [9]
    Zhan HX, Lv Y, Zhang Y, et al. Hepatic and renal artery rupture due to Aspergillus and Mucor mixed infection after combined liver and kidney transplantation: a case report[J]. Transplant Proc,2008,40(5):1771-1773. doi: 10.1016/j.transproceed.2007.10.013
    [10]
    王长希,刘龙山,陈立中,等. 人造血管在肾移植术后血管并发症中的应用(附3例报告)[J]. 中山大学学报:医学科学版,2004(S2):116-117. http://www.cnki.com.cn/Article/CJFDTOTAL-ZSYK2004S2053.htm

    Wang CX, Liu LS, Chen LZ, et al. Application of artificial blood vessel on vascular complications after renal transplantation: report of 3 cases[J].J SUN Yat-sen Univ: Med Sci,2004(S2):116-117. http://www.cnki.com.cn/Article/CJFDTOTAL-ZSYK2004S2053.htm
    [11]
    Smith GH, Nutton RW, Fraser SC. Iliac artery pseudoaneurysm rupture following excision of an infected hip prosthesis[J]. J Arthroplasty, 2011,26(6):e13-e15. http://cn.bing.com/academic/profile?id=1968253643&encoded=0&v=paper_preview&mkt=zh-cn
    [12]
    Srivastava A, Kumar J, Sharma S, et al. Vascular complication in live related renal transplant: An experience of 1945 cases[J]. Indian J Urol,2013,29(1):42-47. doi: 10.4103/0970-1591.109983
    [13]
    Bessede T, Droupy S, Hammoudi Y, et al. Surgical prevention and management of vascular complications of kidney transplantation[J]. Transpl Int,2012,25(9):994-1001. doi: 10.1111/tri.2012.25.issue-9
    [14]
    Russo E, Sciano D, Cerbone V, et al. Low limb and allograft rescue with iliofemoral graft for external iliac artery dissection: case report[J]. Transplant Proc,2010,42(4):1365-1366. doi: 10.1016/j.transproceed.2010.04.011
    [15]
    Yie K, Kim KW, Kang SS,et al. Peripheral vascular reconstruction using deep vein graft for critically ill patients[J]. Vascular, 2011, 19(5):269-276. doi: 10.1258/vasc.2011.oa0292
    [16]
    Liu KY, Tsai PJ, King KL, et al. Pseudoaneurysm of the iliac artery secondary to Aspergillus infection after kidney transplantation[J]. J Chin Med Assoc,2009,72(12):654-656. doi: 10.1016/S1726-4901(09)70450-2
    [17]
    Balzer KM, Neuschäfer S, Sagban TA, et al. Renal artery revascularization after unsuccessful percutaneous therapy: a single centre experience[J]. Langenbecks Arch Surg,2012,397(1):111-115. doi: 10.1007/s00423-011-0857-9
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (98) PDF downloads(4) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return