Exvivo renal revascularization and autotransplantation for renal artery aneurysm with secondary hypertension
- VernacularTitle:离体肾动脉瘤切除和自体肾移植术治疗肾动脉瘤
- Author:
Yongli YAN
- Publication Type:Journal Article
- Keywords:
Renal artery;
Aneurysm;
Renal revascularization;
Kidney transplantation;
Renovascular hypertension
- From:
Journal of Chongqing Medical University
2003;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the safety and feasibility of ex vivo renal revascularization and autotransplantation for renal artery aneurysm with secondary hypertension. Methods:A right renal artery aneurysm(11mm?20mm)with acute hypertension(160/110mmHg) located in the middle of the main renal artery was diagnosed by Renal artery angiography. After aneurysmectomy and temporary nephrectomy,renal revascularization was done with the kidney protected by hypothermia and continuous perfusion with preservation solution,and then the kidney was replanted into the right iliac fossa.Results:The operation was successful. There were no significant perioperative complications. The patient was followed up for more than 6 months,the blood pressure stabilized at about 135/90 mmHg basically after the surgery. Renal function was normal and color Doppler ultrasonograph showed that the blood circulation in the transferred renal artery was smooth.Conclusion:This technique treating renal artery aneurysm with secondary hypertension is safe and feasible.
