title: Successful Endovascular Control of Renal Artery in a Transplant Kidney During Nephron Sparing Surgery (NSS) for Large Centrally Located Tumor.
abstract: Renal cell carcinoma in a transplant kidney is a rare condition. Nephron Sparing Surgery (NSS) is the treatment of choice. One of the main technical challenges is obtaining adequate vascular control. We present a rare case of large centrally located hillar tumor in a kidney 18 years after transplantation treated with NSS. Vascular control was achieved by using a novel approach. Post-operative course was uneventful with minimal decrease in renal function. We believe that this unique choice of treatment can be used in cases of NSS where the access to the renal pedicle is limited.
authors.affiliation: Department of Urology, Bnai Zion Medical Center, 3339414 Haifa, Israel; Technion-Israel Institute of Technology, 3200003 Haifa, Israel.
authors.forename: Sagi
authors.initials: S
authors.lastname: Shprits
authors.affiliation: Department of Urology, Bnai Zion Medical Center, 3339414 Haifa, Israel; Technion-Israel Institute of Technology, 3200003 Haifa, Israel.
authors.forename: Boaz
authors.initials: B
authors.lastname: Moskovits
authors.affiliation: Technion-Israel Institute of Technology, 3200003 Haifa, Israel; Department of Radiology, Bnai Zion Medical Center, 3339414 Haifa, Israel.
authors.forename: Robert
authors.initials: R
authors.lastname: Sachner
authors.affiliation: Department of Urology, Bnai Zion Medical Center, 3339414 Haifa, Israel; Technion-Israel Institute of Technology, 3200003 Haifa, Israel.
authors.forename: Ofer
authors.initials: O
authors.lastname: Nativ
keywords: Nephron sparing surgery; Renal cell carcinoma; Transplant kidney