title: Salvage of external iliac artery dissection immediately after renal transplant.
abstract: Renal transplant is the preferred treatment for patients with uremia. The renal transplant procedure is well established with a high success rate, but surgical complications are encountered occasionally. We report a case of sudden onset of anuria of the graft kidney owing to acute external iliac artery dissection diagnosed by Doppler sonography. Urgent endarterectomy with thrombus removal of false lumen prevented ischemia and occlusion of the right femoral artery. Without accurate diagnosis and management, this complication could have caused graft loss and death. We believe that renal transplant requires attentive teamwork to keep the graft functioning well.
authors.forename: Shang-Feng
authors.initials: ShF
authors.lastname: Tsai
authors.forename: Cheng-Hsu
authors.initials: CH
authors.lastname: Chen
authors.forename: Shih-Rong
authors.initials: SR
authors.lastname: Hsieh
authors.forename: Kuo-Hsiung
authors.initials: KH
authors.lastname: Shu
authors.forename: Hao-Chung
authors.initials: HC
authors.lastname: Ho
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D004691:Endarterectomy; D006801:Humans; D017543:Iliac Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D017131:Thrombectomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*