Iliac artery dissection after renal transplantation

Merkus, J. W. S.; Dun, Guodong; Reinaerts, H. H. M.; Huysmans, F. T. M.

doi:10.1093/ndt/7.12.1242

Cited by 15 publications

(17 citation statements)

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“…A few cases have been reported in the literature, [7][8][9] and one of our patients also presented with this complication. Seven days after transplant, immediate surgery was required.…”

Section: Postoperative Iliac Artery Dissectionmentioning

confidence: 58%

Untitled

2016

Exp Clin Transplant

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Since the first successful organ transplant conducted between twins in 1954, kidney transplant has evolved considerably over the past 50 years. Kidney transplant plays an important role in the treatment of end-stage kidney disease to improve the quality of life and prolong the life of patients. Despite significant advances, postoperative medical and surgical complications still represent important causes of morbidity and mortality. Many problems can be avoided through prophylactic correction of abnormalities detected during the preoperative evaluation; however, it is critical that technical mishaps at all stages of the transplant process (donor nephrectomy, benchwork preparation, and implant) be prevented and that careful postoperative monitoring be carried out, including thorough examination by attending physicians. However, despite these advances, surgical complications still present serious problems in kidney transplant recipients.

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“…A few cases have been reported in the literature, [7][8][9] and one of our patients also presented with this complication. Seven days after transplant, immediate surgery was required.…”

Section: Postoperative Iliac Artery Dissectionmentioning

confidence: 58%

Untitled

2016

Exp Clin Transplant

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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%

“…6 Three cases were managed by percutaneous transluminal angioplasty with a stent and 1 case was given bypass surgery. 2 Five cases were detected several days after the operation, and only 1 case simultaneously occurred during the operation. 5 We report a case of DEIA diagnosed by Doppler sonography right after the RTx.…”

Section: Introductionmentioning

confidence: 97%

“…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%

See 2 more Smart Citations

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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