ACTA MEDICA, Vol 64 No 4 (2021), 232–234
Emergency Ilio-Femoral Bypass during kidney Renal Transplantation Due to External Iliac Artery Dissection: Case Report
Ivica Mokos, Luka Penezić, Josip Figl, Bojan Čikić, Marjan Marić, Nikolina Bašić Jukić, Željko Kaštelan
DOI: https://doi.org/10.14712/18059694.2022.8
zveřejněno: 04. 03. 2022
Abstract
Intraoperative iliac artery dissection during kidney transplantation is a rare but serious complication that requires prompt intervention. We present a case of right external iliac artery dissection during deceased donor kidney transplantation. A 57-year-old male patient underwent standard pretransplant evaluation and had no signs of either significant aortoiliac occlusive disease or peripheral arterial occlusive disease. Diabetic nephropathy, arterial hypertension and smoking were the underlying causes of the patient’s end-stage renal disease. Transplantation was performed in the standard fashion. The kidney was positioned in the right iliac fossa and the venous end to-side anastomosis was performed first. A significant dissection of the right external iliac artery was found on arteriotomy. Immediate ilio-femoral bypass with a vascular prosthesis was performed. During two years of follow-up the kidney function is stable and there are no signs of lower limb vascular insufficiency.
klíčová slova: kidney transplantation; peripheral arterial disease; vascular grafting
Emergency Ilio-Femoral Bypass during kidney Renal Transplantation Due to External Iliac Artery Dissection: Case Report is licensed under a Creative Commons Attribution 4.0 International License.
210 x 297 mm
vychází: 4 x ročně
cena tištěného čísla: 150 Kč
ISSN: 1211-4286
E-ISSN: 1805-9694