Endovascular abdominal aortic aneurysm repair in patients with renal transplant.
10.4174/jkss.2013.84.3.189
- Author:
Jin Hyun JOH
1
;
Deok Ho NAM
;
Ho Chul PARK
Author Information
1. Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea. jhjoh@khu.ac.kr
- Publication Type:Case Report
- Keywords:
Abdominal aortic aneurysm;
Kidney transplantation;
Endovascular procedures
- MeSH:
Aneurysm;
Aortic Aneurysm, Abdominal;
Constriction;
Endovascular Procedures;
Humans;
Iliac Artery;
Ischemia;
Kidney;
Kidney Transplantation;
Rejection (Psychology);
Reperfusion Injury;
Stents;
Transplants
- From:Journal of the Korean Surgical Society
2013;84(3):189-193
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
