External iliac artery caused by renal artery endarterectomy in the treatment of acute obstruction.docVIP

 PAGE \* MERGEFORMAT 5 External iliac artery caused by renal artery endarterectomy in the treatment of acute obstruction Of: Chen Weiguo, FORCES, Wang Liang, Yang Hang, Zhou Peng, Deng Chaoxiong FORCES Zhangbing Hong, Liu Xiangdan [Keywords:] treatment of renal artery obstruction As the long-term chronic renal failure patients dialysis, anemia, hypertension, lipid metabolism disorders and other factors, some patients will associated with atherosclerotic lesions, arterial intimal fragility, brittleness increased intimal plaque or most likely fall off, to renal transplantation, the postoperative acute renal artery obstruction. 2 patients in our hospital in recent years with acute renal artery obstruction, are as follows. 1 Clinical data Case 1, female 35 years old, the same donor and recipient blood type, HLA mismatch locus 0, PRA: I: 4.5%, cross-cytotoxicity negative, for recipients of renal artery and the right external iliac artery end to side anastomosis, open See 1 minute after blood flow of urine, the first 8 days after acute rejection, steroid pulse therapy remission, but after 5 months and 2 repeated acute rejection and refractory hypertension, review B-: Transplant renal artery anastomotic thinning, transplant renal artery angiography showed arterial anastomotic stenosis, along wire into 5.0mm × 15mm stent at the anastomotic stenosis, angiography showed stenosis disappeared there, but the external iliac artery anastomosis than 2.5cm, 2cm at respectively, 1.5cm × 1.5cm and 2.5cm × 2cm crescent round the shadow of blood flow between the two narrow shadow, through the slow, once again injected contrast agents that reduce renal blood flow, and gradually do not develop, consider atherosclerosis Plaque shedding induced acute renal artery thrombosis. Case 2, male, aged 31, the same donor and recipient blood type, HLA locus mismatch 0, PRA negative, negative cross-cytotoxicity, donor renal artery and recipient external iliac artery end to sid