Surgical treatment of aortoiliac aneurysms in renal transplant patients

M, Lacombe

doi:10.1016/j.jvs.2008.03.005

Cited by 24 publications

(13 citation statements)

References 16 publications

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“…Poor results were also observed in another study with 10% perioperative mortality due to myocardial infarction and loss of up to 23% of allografts implanted on a vascular prosthesis [7]. Other studies showed good results of kidney transplantation in association with alloplastic prosthesis replacement procedures [5,6,11,15,16,17,18,19,20,21,22]. Our own experience in 4 cases is in line with these findings.…”

Section: Discussionsupporting

confidence: 85%

Results of Renal Transplantation on Alloplastic Arterial Grafts

Sagban¹,

Regus²,

Heller

et al. 2016

Urol Int

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Background: The aim of this retrospective study was to report results of a consecutive series of kidney transplant patients in whom the renal artery was implanted on a prosthetic vascular graft (PVG). Methods: Between January 2011 and December 2014, 208 deceased donor renal transplantations (68 female, 140 male, mean age 52, SD 16 years) were performed. Medical charts and outpatient clinical records of patients who had undergone renal artery implantation on a PVG were reviewed. Extensive literature research added to our 4 patients further 170 published cases during 1989 and 2015 and was compared with regular transplanted patients. Data on patient characteristics, prior vascular procedures, postoperative and long-term outcome were collected. Results: Patients with transplant renal artery anastomosis on a PVG were 4 years older than the control group. Function of the graft was similar in these patients compared to regular renal transplant patients. Resistance indices assessed in our clinic over the entire follow-up period showed also no significant difference between the 2 groups. Thirty-day mortality was 6% (none in our group), which occurred mostly in combination when renal transplantation and PVG replacement was performed simultaneously. Conclusion: Grafting of the renal artery to a PVG is feasible and yields good results, despite the technical difficulties involved.

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Section: Discussionsupporting

confidence: 85%

Results of Renal Transplantation on Alloplastic Arterial Grafts

Sagban¹,

Regus²,

Heller

et al. 2016

Urol Int

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“…Conventional open repair can be done safely. Lacombe reported the open repair of aortoiliac aneurysm in 18 patients with kidney transplantation without mortality [7]. During the open repair, however, aortic cross clamping was needed.…”

Section: Discussionmentioning

confidence: 99%

Endovascular abdominal aortic aneurysm repair in patients with renal transplant

Joh

Nam

2013

J Korean Surg Soc

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The repair of abdominal aortic aneurysm (AAA) in patients with functioning renal transplant is critical because it is important to avoid ischemic and reperfusion injury to the transplanted kidney. Endovascular aneurysm repair (EVAR) avoids aortic cross clamping and can prevent renal graft ischemia. Here we report the endovascular management and outcome of AAA in two renal transplant patients using a bifurcated aortic stent graft. One patient underwent EVAR using a small amount of contrast (30 mL) due to decreased renal function resulting from chronic rejection. Another patient had EVAR performed with iliac conduit because of the heavily calcified, stenotic lesion of external iliac artery. EVAR in patients with a renal transplant is a feasible option without impairing renal arterial flow.

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“…This translates into increased number of patients with ESRD in association to aortoiliac atherosclerotic and aneurysmal diseases, who require surgical and/or endovascular repair of diseased arteries [5]. Aortoiliac reconstruction is advocated as preparation for KT when significant atherosclerosis is noted [6,7]. Since long-term survival of kidney transplant patients was paralleled by increases in AAA development [8], this suggests that advanced ESRD needing KT, and advanced PAD requiring surgical or endovascular correction can be done either simultaneously, or alternatively after surgical or interventional treatment of the other.…”

Section: Discussionmentioning

confidence: 99%

Chronic Renal Failure and Aortoiliac Disease: Two Cases with Different Treatments and Outcome, and Literature Update

Abou-Jaoudé¹

2013

J Transplant Technol Res

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Purpose: An association between peripheral arterial disease (PAD) and end-stage renal disease (ESRD) was suggested. We discuss the cases of two kidney transplant patients of different etiologies, and management outcomes.Case Report: The first case was for a patient with long-standing complicated type 2 diabetes who suffers from advanced atherosclerotic disease involving both femoro-iliac arterial axes. The patient had successful kidney transplantation (KT) to atherosclerotic external iliac artery after endarterectomy, with a smooth early post operative course and a two-year follow up with no significant morbidity. The second case is for a patient who underwent KT, and who had previously undergone an endovascular bifurcated aortic bi-iliac stent (EVBAIS) for an infra-renal abdominal aortic aneurysm. Conclusions:The decision concerning the presence of extensive atherosclerosis, endovascular stenting and/or endarterectomy, pre-transplantation assessment, and post-operative course will be presented. The literature is also reviewed to assess practices for detecting PAD in kidney transplant patients, and subsequent management options.

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Surgical treatment of aortoiliac aneurysms in renal transplant patients

Cited by 24 publications

References 16 publications

Results of Renal Transplantation on Alloplastic Arterial Grafts

Results of Renal Transplantation on Alloplastic Arterial Grafts

Endovascular abdominal aortic aneurysm repair in patients with renal transplant

Chronic Renal Failure and Aortoiliac Disease: Two Cases with Different Treatments and Outcome, and Literature Update

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