Endovascular Repair of Renal Artery Anastomotic Pseudoaneurysm Following Living Donor Kidney Transplant

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• 作者：Vivek V. Patil ; Michelle Roytman ; Scott Ames…
• 关键词：Transplant ; Renal artery ; Pseudoaneurysm ; Ostial flare balloon ; Covered stent
• 刊名：CardioVascular and Interventional Radiology
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：38
• 期：6
• 页码：1640-1644
• 全文大小：1,483 KB
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  10.Desai H, George JC: Treatment of ostial renal artery stenosis with stenting followed by flared ostial balloon. Vascular Disease Management 2012 http://鈥媤ww.鈥媣asculardiseasem鈥媋nagement.鈥媍om/鈥媍ontent/鈥媡reatment-ostial-renal-artery-stenosis-stenting-followed-flared-ostial-balloon . Accessed 30 May 2015.
  
• 作者单位：Vivek V. Patil (1)
  Michelle Roytman (1)
  Scott Ames (2)
  William Beckerman (3)
  Robert A. Lookstein (1)
  
  1. Division of Interventional Radiology, Department of Radiology, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, Box 1234, New York, 10029, NY, USA
  2. Department of Surgery, Recanati Miller Transplant Institute, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, New York, 10029, NY, USA
  3. Division of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, New York, 10029, NY, USA
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Imaging and Radiology
  Nuclear Medicine
  Ultrasound
  Cardiology
  
• 出版者：Springer New York
• ISSN：1432-086X

文摘

Renal artery anastomotic pseudoaneurysms, an uncommon complication of transplantation, may result in aneurysm rupture and loss of allograft. We report the case of 50-year-old female with back pain 3 weeks post renal transplantation. CT scan revealed transplant renal artery anastomotic pseudoaneurysm arising from anastomosis of two renal arteries joined together to form a single renal artery that was joined to the aorta. Successful endovascular treatment was achieved with covered stents, resulting in preserved renal function. Follow-up ultrasound at one-day post procedure and CT at 2 months revealed satisfactory renal perfusion with no pseudoaneurysm. Endovascular treatment of transplant renal artery pseudoaneurysms with covered stent and ostial flare balloon technology may be preferred in patients with extensive prior pelvic surgery, as illustrated in this case. Keywords Transplant Renal artery Pseudoaneurysm Ostial flare balloon Covered stent