Successful Endovascular Repair of Infectious External Iliac Artery Anastomotic Pseudoaneurysm With Graft Preservation Post-Kidney Transplantation: Case Report and Review of Literature

Hennawy, Hany M El; Al-Qahtani, Saad; Faifi, Abdullah S Al; Ghalyoob, Tayseer M; Khalil, Haytham Fouad; Bazeed, Mohammed F.; Atta, Eisa Al; Safar, Omar; Ahmed, Ammar; Nazer, Weam El; Abdelaziz, Abdelaziz a; Mahedy, Ahmed; Mirza, Naveed; Fageeh, Ali Al; Elgamal, Galal a; Zaitoun, Mohammad F; Haddad, Ahmed

doi:10.1016/j.transproceed.2022.10.022

Cited by 2 publications

(2 citation statements)

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“…6 Open surgical repair and/or endovascular stenting is the therapeutic options to preserve allograft vascularity and graft function. [7][8][9] However, after endovascular stent placement, it is even rare to observe the blockage of renal allograft blood flow with resultant continued renal dysfunction. As described in the current case, there is likely unintentional coverage of the artery supplying the renal allograft by the stent graft during endovascular pseudoaneurysm repair.…”

Section: Figurementioning

confidence: 99%

“…Anastomotic pseudoaneurysm is very rare complication after renal transplant surgery 6. Open surgical repair and/or endovascular stenting is the therapeutic options to preserve allograft vascularity and graft function [7][8][9]. However, after endovascular stent placement, it is even rare to observe the blockage of renal allograft blood flow with resultant continued renal dysfunction.…”

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confidence: 99%

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Renal Transplant Anastomotic Pseudoaneurysm and Stenosis at the Proximal Transplant Renal Artery and Worse Renal Blood Flow After Stent Placement

Wang,

Li,

2024

Clin Nucl Med

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A 60-year-old man with a history of end-stage renal disease received renal transplant and had decreasing renal function 4 months later. Nuclear medicine renal flow and functional study showed severely decreased blood flow and decreased function of the right renal allograft. There was focal increased radiotracer uptake at blood flow phase around the anastomosis of the renal allograft artery and the right external iliac artery. CT angiogram revealed right external iliac artery pseudoaneurysm. Interventional radiology angiography reconfirmed the pseudoaneurysm and revealed stenosis at the proximal transplant renal artery. After stent placement, however, there was worse renal allograft blood flow.

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