中国组织工程研究2012，Vol.16Issue(5)：947-950,4.DOI:10.3969/j.issn.1673-8225.2012.05.044
肾移植后血管并发症介入治疗8例
Interventional treatment for vascular complications after kidney transplantation in eight cases
摘要
Abstract
BACKGROUND:Interventional therapy for vascular complications after allograft kidney transplantation has become a safe and effective treatment.OBJECTIVE: To explore the diagnosis experiences and value evaluation of interventional treatment for vascular complicationsafter allograft kidney transplantation.METHODS: The clinical data of eight patients with interventional treatment for vascular complications after allograft kidneytransplantation were retrospectively studied.RESULTS AND CONCLUSION: In the eight cases undergoing transplantation, five cases were found renal artery stenosis, twocases were found pseudoaneurysm, and one case was found renal vein thrombosis, and they were all diagnosed by colorDoppler flow imaging. Five cases of renal artery stenosis took further examination by magnetic resonance angiography, and theyunderwent ballon angioplasty and followed-up for 6, 8, 20, 36 and 40 months. One case was found restenosis in five cases,whose serum creatinine level maintained in the range of 130-160 μmol/L. Four cases of renal artery stenosis in five cases werefound no recurrence, and their serum creatinine level was in normal range. The aneurism in two cases of renal arterypseudoaneurysm disappeared after undergoing stent graft placement across the external iliac artery, and then they were treatedwith routine hemodialysis. Thrombosis disappeared in one case of renal vein thrombosis after undergoing interventionalthrombolysis. The graft function recovery of this case delayed, the serum creatinine level decreased to 210 μmol/L at day 35.After that the serum creatinine level of this case maintained in the range of 200-250 μmol/L. Based on the clinical data of theseeight cases, it suggests that interventional treatment for vascular complications after allograft kidney transplantation is feasible.关键词
血管并发症/介入治疗/肾移植/肌酐/器官移植分类
医药卫生引用本文复制引用
李金锋,丰贵文,管生,丁鹏绪,王跃,庞新路,尚文俊,刘磊..肾移植后血管并发症介入治疗8例[J].中国组织工程研究,2012,16(5):947-950,4.基金项目
郑州大学第一附属医院青年基金资助项目(2011-QN010). （2011-QN010）
