[肾移植血管并发症]。

Urologiia i nefrologiia Pub Date : 1998-05-01
A M Bagirov
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引用次数: 0

摘要

1986-1997年,在伊斯坦布尔大学医学院进行了584例肾脏移植手术(208例来自尸体捐赠者,376例来自在世亲属捐赠者)。2例(0.35%)出现肾动脉血栓形成。1例肾移植术后4个月出现弥漫性动脉粥样硬化。尽管进行了两次成功的血栓切除手术,但患者在最后一次手术后3个月死于脑血栓。另一名患者接受了肾切除术。高血压63例。其中5例经多普勒双工扫描和选择性血管造影检查发现吻合区狭窄约50%。1例行腔内血管成形术,1例行开放性手术矫正。肾静脉血栓1例(0.2%)。2例(0.35%)在移植后5年和12年观察到主动脉瘤夹层。
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[Vascular complications of kidney transplantation].

584 kidney transplantations (208 from cadaveric donors, 376 from living relative donors) were performed in Medical Faculties of the Istambul University in 1986-1997. Thrombosis of the renal artery was observed in 2 patients (0.35%). One of them had diffused arterial atherosclerosis 4 months after the kidney transplantation. In spite of two successful thrombectomies, the patient died 3 months after the last surgical procedure from cerebral thrombosis. The other patient underwent nephrectomy. Hypertension was observed in 63 patients. In 5 of them about 50% stenosis of the anastomotic area was detected by doppler duplex scan and selective angiogram. Transluminal angioplasty was performed in one patient, open surgical correction in one case. Renal vein thrombosis took place in 1 (0.2%) patient. In 2 cases (0.35%) 5 and 12 years after the transplantation aortic aneurysmal dissection was observed.

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