Ufuk ALPAGUT, Ali Rıza ODABAŞ, Murat UĞURLUCAN, Didem Melis ÖZTAŞ, Yılmaz ÖNAL

Transplante böbrek, renal arter darlığı ve dev psödoanevrizma: Nasıl tedavi etmeyi denedik, Neden başarısız olduk ve Nasıl yönettik?

Donör ve alıcı arter problemleri, böbrek nakli hastalarında zorlu komplikasyonlardır. Bu yazıda, anastomoz bölgesinde renal arter darlığı ve dev psödoanevrizması olan 42 yaşında bir renal transplant olgusunda tedavi stratejimiz sunuldu. Açık cerrahi ciddi adezyonlar nedeniyle başarısız oldu. Bunun üzerine, hasta iliofemoral baypas ve retrograd renal arter perfüzyonunu sağlayacak şekilde, renal arter stent greft implantasyonu ile hibrid yaklaşım kullanılarak başarılı bir şekilde tedavi edildi.

Transplanted kidney, stenotic renal artery, and a giant pseudoaneurysm: How we tried to treat, Why we failed, and How we managed?

Donor and recipient artery problems are challengingcomplications in renal transplant patients. In this report, wepresent our treatment strategy in a 42-year-old renal transplantcase with renal artery stenosis and a giant pseudoaneurysmat the anastomotic site. Open repair failed due to extremeadhesions. However, the patient was managed successfullyusing the hybrid approach with iliofemoral bypass and stentgraft implantation to the renal artery, providing retrograderenal artery perfusion.

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