Successful renal transplantation after endovascular bifurcated stent graft repair of an abdominal aortic aneurysm.
Renal transplantation after repair of aortoiliac aneurysms with traditional prosthetic vascular grafts has been shown to be effective. Vascular surgery continues to rapidly evolve, most notably with the advancement of endovascular repair of abdominal aortic aneurysms. Controlled trials continue to support the trend toward the use of endovascular bifurcated aortic stent grafts. For this we describe the first renal transplant in a patient with an endovascular bifurcated aortoiliac stent graft. No intraoperative difficulties were encountered. At 1-year follow-up, the transplanted kidney is functioning well with a normal serum creatinine level of 1.3 mg/dl, and the patient has no worsening of peripheral vascular disease. We recommend that the presence of an endovascular aortic graft not be a contraindication to renal transplantation.
George
P
P
Department of Surgery, Johns Hopkins Comprehensive Transplant Center, 600 North Wolfe Street, Baltimore, MD 21287-5654, USA.
Tan
H P
HP
Beebe
H
H
Ratner
L E
LE
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D003404:Creatinine / Q000097:blood; D004867:Equipment Design; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery; D016030:Kidney Transplantation; D018810:Magnetic Resonance Angiography; D008297:Male; D015607:Stents
D003404:Creatinine