Transplantation proceedings · 2022
Successful Endovascular Repair of Infectious External Iliac Artery Anastomotic Pseudoaneurysm With Graft Preservation Post-Kidney Transplantation: Case Report and Review of Literature.
ОбзорКлинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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El Hennawy Hany, Al-Qahtani Saad, Faifi Abdullah S Al, Ghalyoob Tayseer M, Khalil Haytham Fouad, Bazeed Mohammed F, Atta Eisa Al, Safar Omar, Awad Ahmed, Nazer Weam El, Abdelaziz Abdelaziz A, Mahedy Ahmed, Mirza Naveed, Fageeh Ali Al, Elgamal Galal A, Zaitoun Mohammad F, Haddad Ahmed El
Аннотация
BACKGROUND: Allograft artery-infected pseudoaneurysm (PA) represents a rare but life-threatening complication of kidney transplantation (KT). A review of the literature, showed that nearly all these cases ended resulted in graft loss. We presented a case of post-KT-infected external iliac artery anastomotic PA successfully managed by endovascular stenting with graft preservation. Additionally, we reviewed the pertinent literature.
METHOD: In this article, we described a hypertensive, 47-year-old man who presented 1 month post-cadaveric KT with acute kidney injury and gram-negative bacteremia secondary to a large infectious anastomotic PA of the external iliac artery.
RESULTS: Because of favorable anatomy, successful arterial angio-stent fixation of the main renal artery PA, sparing the lower polar artery, was performed after 1 week of antibiotic and fungal coverage.
CONCLUSION: Patient was discharged after 2 weeks with functioning graft. Graft function was stable after 3 months.
METHOD: In this article, we described a hypertensive, 47-year-old man who presented 1 month post-cadaveric KT with acute kidney injury and gram-negative bacteremia secondary to a large infectious anastomotic PA of the external iliac artery.
RESULTS: Because of favorable anatomy, successful arterial angio-stent fixation of the main renal artery PA, sparing the lower polar artery, was performed after 1 week of antibiotic and fungal coverage.
CONCLUSION: Patient was discharged after 2 weeks with functioning graft. Graft function was stable after 3 months.