Interventional treatment of transplant renal artery rupture of donation after citizens death: report of 4 cases
10.3760/cma.j.issn.0254-1785.2014.08.011
- VernacularTitle:公民逝世后器官捐献供肾移植受者移植肾动脉破裂的介入治疗四例
- Author:
Kai WANG
;
Qingshan QU
;
Shuzhai MIAO
;
Yanxuan ZHANG
;
Xin JIANG
;
Shaofeng LIANG
- Publication Type:Journal Article
- Keywords:
Kidney transplantation;
Artery dissection;
Radiography,interventional;
Mucor;
Aspergillus;
Infection
- From:
Chinese Journal of Organ Transplantation
2014;35(8):492-495
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the characteristics and effects of interventional therapy of transplant renal artery rupture of donation after citizens death (DCD).Method Among 28 cases of DCD renal transplantations (from February 2012 to December 2013),the transplant renal artery rupture occurred in 4 cases.Vascular complications were treated with the guide wires to place stents in the pseudoaneurysms or bleeding period.Result Pseudoaneurysms occurred in 2 cases,and they were successfully discharged after interventional treatment.In the rest two patients,the artery residual ruptured and bled after the nephrectomy,and they recovered after interventional treatment to stop bleeding.Conclusion For kidney transplant recipients,the DCD postoperative infection is risky.Some transplant kidneys have local infection and erosion of renal artery,which causes arterial hemorrhage.The interventional treatment of transplant renal artery pseudoaneurysms and rupture bleeding has the advantages of small trauma and instant effect,and can be used as an alternative treatment of open surgery.
