Endovascular Repair as First-Choice Treatment of Iliac Pseudoaneurysms Following Renal Transplantation

Zavos, G.; Pappas, Paris; Kakisis, John D.; Leonardou, Polytimi; Manoli, Eftychios; Bokos, John; Kostakis, A.

doi:10.1016/j.transproceed.2005.11.034

Cited by 41 publications

(26 citation statements)

References 8 publications

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“…A literature review is summarized in Table , showing the reported clinical presentations, pathogen isolates, treatment, and graft and patient survival . Severe bleeding is, unfortunately, not uncommon, and is accompanied by allograft loss in virtually all cases, with a high mortality rate .…”

Section: Discussionmentioning

confidence: 99%

Presentation and management of mycotic pseudoaneurysm after kidney transplantation

Patrono

Verhelst

Buemi

et al. 2015

Transplant Infectious Dis

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Pseudoaneurysms (PAs) developing at the site of vascular anastomosis after organ transplantation are a rare but serious complication. We report a series of 3 cases of PA observed in a single center over a period of 18 years. The mode of presentation was acute bleeding in 2 cases. In the third patient, who underwent combined kidney and pancreas transplantation, the PA on the renal graft was discovered by chance. Graft removal associated with iliac artery ligation and extra-anatomic femoro-femoral bypass represents the standard treatment. However, interposition of a venous homograft may allow preservation of inferior limb perfusion and possibly graft salvage.

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Section: Discussionmentioning

confidence: 99%

Presentation and management of mycotic pseudoaneurysm after kidney transplantation

Patrono

Verhelst

Buemi

et al. 2015

Transplant Infectious Dis

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“…Open surgery is associated with high rates of transplant loss. 8 The simplest option is to perform a nephrectomy, with ligation of the iliac artery; although this can result in limb loss. 9 Vascular reconstruction is challenging, and various options have been attempted including extra-anatomical bypass, bypass using a deep vein, allogeneic homografts, or polytetrafluoroethylene or silver grafts.…”

Section: Discussionmentioning

confidence: 99%

Candida Arteritis in a Pair of Renal Transplant Recipients

Guy

Chinai²,

Ashley³

et al. 2013

Exp Clin Transplant

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“…Mycotic aneurysm is a rare infectious complication, associated with high morbidity and mortality rates, while the prompt treatment modality remains a subject of debate. Small, asymptomatic pseudoaneurysms can be managed conservatively by regular monitoring, while early diagnosis and timely operation might be the most important factors in the survival of patients with mycotic pseudoaneurysms [6,7]. However, an aneurysm infected with candida is reported to have been successfully managed by conservative pharmacological means during a period of 38 months follow-up [8].…”

Section: Discussionmentioning

confidence: 99%

Mycotic pseudoaneurysms complicating renal transplantation: a case series and review of literature

et al. 2012

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IntroductionKidney transplantation can be complicated by infection and subsequent development of mycotic aneurysm, endangering the survival of the graft and the patient. Management of this condition in five cases is discussed, accompanied by a review of the relevant literature.Case presentationsFive patients, three men 42-, 67- and 57-years-old and two women 55- and 21-years-old (mean age of 48 years), all Caucasians, developed a mycotic aneurysm in the region of the anastomosis between renal graft artery and iliac axes. Four patients presented with systemic fever and iliac fossa pain and one presented with hemorrhagic shock. Morphologic investigation by color doppler ultrasonography revealed a pseudoaneurysm at the anastomotic site. A combination of antibiotic therapy, surgery and interventional procedures was required as all kidney transplants had to be removed. No recurrence was recorded during the follow-up period.ConclusionsA high index of suspicion is required for the timely diagnosis of a mycotic aneurysm; aggressive treatment with cover stents and/or surgical excision is necessary in order to prevent potentially fatal complications.

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Endovascular Repair as First-Choice Treatment of Iliac Pseudoaneurysms Following Renal Transplantation

Cited by 41 publications

References 8 publications

Presentation and management of mycotic pseudoaneurysm after kidney transplantation

Presentation and management of mycotic pseudoaneurysm after kidney transplantation

Candida Arteritis in a Pair of Renal Transplant Recipients

Mycotic pseudoaneurysms complicating renal transplantation: a case series and review of literature

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