کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2915038 1575553 2006 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Vascular Complications of Allograft Nephrectomy
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Vascular Complications of Allograft Nephrectomy
چکیده انگلیسی

ObjectivesTo identify risk factors that predisposes patients to vascular complications from allograft nephrectomy and to determine the safe management of this group of patients.DesignThis is a retrospective review of 1543 renal transplants performed in our institution between January 1990 and January 2002.Patients and methodsDuring this period, 161 (10.4%) transplant nephrectomies were performed, of which we identified nine patients (5.6%) who sustained significant vascular complications.ResultsSeven patients required ligation of external iliac artery for control of haemorrhage. Immediate vascular reconstructions (femoral–femoral cross-over bypass in two cases and one vein patch to an external iliac artery defect) were performed in three patients. Two patients had endovascular stenting of their external iliac artery pseudoaneurysm. No patient suffered limb loss. However, three patients died—two died from overwhelming sepsis and one patient died of an intra-cerebral haemorrhage.ConclusionsWhile vascular complications associated with transplant nephrectomy are relatively rare, they are associated with a significantly poor outcome. Immediate attempts to reconstruct the vascular supply to the lower limb are associated with a high complication rate. We advocate that where possible, vascular reconstruction should be deferred and that external iliac artery ligation can be performed safely with surprisingly low limb ischaemia rate.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Vascular and Endovascular Surgery - Volume 32, Issue 2, August 2006, Pages 212–216
نویسندگان
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