肾移植患者血管内腹主动脉瘤的修复。

Journal of the Korean Surgical Society Pub Date : 2013-03-01 Epub Date: 2013-02-27 DOI:10.4174/jkss.2013.84.3.189
Jin Hyun Joh, Deok-Ho Nam, Ho-Chul Park
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引用次数: 12

摘要

在功能正常的肾移植患者中,腹主动脉瘤(AAA)的修复是至关重要的,因为它可以避免对移植肾的缺血和再灌注损伤。血管内动脉瘤修复(EVAR)避免了主动脉交叉夹持,可以防止移植肾缺血。在这里,我们报告了两例使用分岔主动脉支架的肾移植患者的血管内处理和AAA的结果。一名患者由于慢性排斥反应导致肾功能下降,使用少量造影剂(30ml)进行EVAR。另一名患者因髂外动脉严重钙化狭窄病变,采用髂导管行EVAR。肾移植患者的EVAR是一种不损害肾动脉血流的可行选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Endovascular abdominal aortic aneurysm repair in patients with renal transplant.

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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