Aortic stent-grafts in patients with renal transplants.
OBJECTIVE
To report the endovascular treatment of abdominal aortic aneurysms (AAA) in 2 patients with pelvic renal transplants.


RESULTS
Two men with multiple comorbidities and pelvic transplant kidneys underwent endovascular AAA repair using an aortomonoiliac system with femorofemoral bypass grafting. The arterial end-to-side anastomosis in both patients was to the external iliac artery. Tapered aortomonoiliac grafts were fashioned from Gianturco Z-stents covered with Dacron graft material and implanted with the distal attachment site in the iliac system ipsilateral to the transplant kidney arterial anastomosis. The body of the stent-graft was reinforcement with a Wallstent in each case before the contralateral common iliac artery was occluded and the cross-femoral bypass constructed. Both patients recovered uneventfully from the procedure and are free of endoleak or other complications related to their aneurysm repair at 7 and 34 months.


CONCLUSIONS
The presence of a pelvic renal transplant in a patient undergoing endovascular AAA repair increases the complexity of procedural planning and endograft implantation, but a good outcome can be achieved.
Sawhney
R
R
Department of Radiology, University of California, San Francisco, USA. sawhney.rajiv@sanfrancisco.va.gov
Chuter
T A
TA
Wall
S D
SD
Reilly
L M
LM
Kerlan
R K
RK
Canto
C J
CJ
Jean-Claude
J
J
Faruqi
R M
RM
D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000601:surgery; D015607:Stents; D014057:Tomography, X-Ray Computed