Endovascular abdominal aortic aneurysm repair in the presence of a kidney transplant: therapeutic considerations.
Abdominal aortic aneurysm (AAA) repair in the presence of a kidney transplant can be extremely challenging, as it carries significant risks of renal ischemia. Endovascular repair is an attractive option, as it can be performed with little or no impairment of renal arterial flow. We describe the endovascular management of a recurrent AAA in a patient with a functioning renal transplant using a custom-made aorto-uni-iliac device. We discuss the planning and the potential problems of the technique.
Karkos
Christos D
CD
Department of Vascular & Endovascular Surgery, Leicester Royal Infirmary, Leicester, LE1 5WW, UK. ckarkos@hotmail.com
McMahon
Greg
G
Fishwick
Guy
G
Lambert
Kelly
K
Bagga
Ajay
A
McCarthy
Mark J
MJ
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000628:therapy*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D015641:Radiography, Interventional; D014057:Tomography, X-Ray Computed