title: Anastomotic pseudoaneurysm complicating renal transplantation: treatment options.
abstract: BACKGROUND
  Anastomotic pseudoaneurysm following renal transplantation is uncommon. Indications for repair, treatment options and outcomes remain controversial.
  
  
  METHODS
  We present 6 renal transplant recipients with large anastomotic pseudoaneurysms. Five of the patients underwent open repair while one had a stent-grafting and delayed transplant nephrectomy for a ruptured pseudoaneurysm. A transplant nephrectomy was needed in all cases but one. Arterial reconstruction enabled limb salvage in all cases. One patient died of sepsis postoperatively. No patient presented late infection, failure of vascular reconstruction, nor pseudoaneurysm recurrence.
  
  
  CONCLUSIONS
  Surgical excision of anastomotic pseudoaneurysms results in high rates of allograft loss. Less invasive techniques have a place in selected cases.
authors.affiliation: Department of General, Federico II University of Naples, Via S Pansini 5, 80131 Naples, Italy.
authors.forename: U M
authors.initials: UM
authors.lastname: Bracale
authors.forename: M
authors.initials: M
authors.lastname: Santangelo
authors.forename: F
authors.initials: F
authors.lastname: Carbone
authors.forename: L
authors.initials: L
authors.lastname: Del Guercio
authors.forename: S
authors.initials: S
authors.lastname: Maurea
authors.forename: M
authors.initials: M
authors.lastname: Porcellini
authors.forename: G
authors.initials: G
authors.lastname: Bracale
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000382:microbiology / Q000401:mortality / Q000601:surgery*; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology / Q000401:mortality / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000401:mortality; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects / Q000401:mortality; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D012086:Reoperation; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous; D016896:Treatment Outcome