Management of Transplant Renal Artery Pseudoaneurysm and Literature Review
Renal transplantation is the ultimate treatment for end-stage renal disease patients. However, vascular complications can impact renal allograft outcomes. Extrarenal pseudoaneurysms (EPSA) are a rare complication occurring in 1% of transplant recipients. We report a case series of extrarenal pseudoa...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Transplantation |
| Online Access: | http://dx.doi.org/10.1155/2022/6232586 |
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| _version_ | 1832565518931853312 |
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| author | Luke Anders Rachel Stephens Melissa Laub Rushay Amarath-Madav Ahmad Mirza Muhammad Irfan Saeed |
| author_facet | Luke Anders Rachel Stephens Melissa Laub Rushay Amarath-Madav Ahmad Mirza Muhammad Irfan Saeed |
| author_sort | Luke Anders |
| collection | DOAJ |
| description | Renal transplantation is the ultimate treatment for end-stage renal disease patients. However, vascular complications can impact renal allograft outcomes. Extrarenal pseudoaneurysms (EPSA) are a rare complication occurring in 1% of transplant recipients. We report a case series of extrarenal pseudoaneurysm after kidney transplant with different clinical presentations and management strategies. Given the rarity of EPSA, literature describing this complication is limited to single case reports or small retrospective case series. We also provide an up-to-date review of 76 articles on mycotic, bacterial, and idiopathic EPSAs. Allograft removal is considered standard treatment, but new endovascular alternatives may allow allograft salvage. EPSA should be managed with a multidisciplinary approach. Surveillance with renal ultrasound is recommended in patients considered high risk. |
| format | Article |
| id | doaj-art-942ad78bafd04699aee16fd6882f502f |
| institution | Kabale University |
| issn | 2090-6951 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Transplantation |
| spelling | doaj-art-942ad78bafd04699aee16fd6882f502f2025-02-03T01:07:22ZengWileyCase Reports in Transplantation2090-69512022-01-01202210.1155/2022/6232586Management of Transplant Renal Artery Pseudoaneurysm and Literature ReviewLuke Anders0Rachel Stephens1Melissa Laub2Rushay Amarath-Madav3Ahmad Mirza4Muhammad Irfan Saeed5Medical College of Georgia at Augusta UniversityDepartment of PharmacologyDepartment of PharmacologyMedical College of Georgia at Augusta UniversityDepartment of SurgeryDepartment of SurgeryRenal transplantation is the ultimate treatment for end-stage renal disease patients. However, vascular complications can impact renal allograft outcomes. Extrarenal pseudoaneurysms (EPSA) are a rare complication occurring in 1% of transplant recipients. We report a case series of extrarenal pseudoaneurysm after kidney transplant with different clinical presentations and management strategies. Given the rarity of EPSA, literature describing this complication is limited to single case reports or small retrospective case series. We also provide an up-to-date review of 76 articles on mycotic, bacterial, and idiopathic EPSAs. Allograft removal is considered standard treatment, but new endovascular alternatives may allow allograft salvage. EPSA should be managed with a multidisciplinary approach. Surveillance with renal ultrasound is recommended in patients considered high risk.http://dx.doi.org/10.1155/2022/6232586 |
| spellingShingle | Luke Anders Rachel Stephens Melissa Laub Rushay Amarath-Madav Ahmad Mirza Muhammad Irfan Saeed Management of Transplant Renal Artery Pseudoaneurysm and Literature Review Case Reports in Transplantation |
| title | Management of Transplant Renal Artery Pseudoaneurysm and Literature Review |
| title_full | Management of Transplant Renal Artery Pseudoaneurysm and Literature Review |
| title_fullStr | Management of Transplant Renal Artery Pseudoaneurysm and Literature Review |
| title_full_unstemmed | Management of Transplant Renal Artery Pseudoaneurysm and Literature Review |
| title_short | Management of Transplant Renal Artery Pseudoaneurysm and Literature Review |
| title_sort | management of transplant renal artery pseudoaneurysm and literature review |
| url | http://dx.doi.org/10.1155/2022/6232586 |
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