Aortic Stent-Grafts in Patients with Renal Transplants

• Published in: Journal of endovascular therapy 2000-08, Vol.7 (4), p.286-291
• Main Authors: Sawhney, Rajiv, Chuter, Timothy A. M., Wall, Susan D., Reilly, Linda M., Kerlan, Robert K., Canto, Catherine J., Jean-Claude, Jessie, Faruqi, Rishad M.
• Format: Article
• Language: English
• Subjects: Aged; Anastomosis, Surgical - methods; Aortic Aneurysm, Abdominal - complications; Aortic Aneurysm, Abdominal - diagnostic imaging; Aortic Aneurysm, Abdominal - surgery; Blood Vessel Prosthesis Implantation - methods; Femoral Artery - surgery; Humans; Iliac Artery - diagnostic imaging; Iliac Artery - surgery; Kidney Transplantation; Male; Middle Aged; Renal Artery - diagnostic imaging; Renal Artery - surgery; Stents; Tomography, X-Ray Computed
• ISSN: 1526-6028; 1545-1550
• DOI: 10.1177/152660280000700405

Purpose: To report the endovascular treatment of abdominal aortic aneurysms (AAA) in 2 patients with pelvic renal transplants. Methods and Results: Two men with multiple comorbidities and pelvic transplant kidneys underwent endovascular AAA repair using an aortomonoiliac system with femorofemoral bypass grafting. The arterial end-to-side anastomosis in both patients was to the external iliac artery. Tapered aortomonoiliac grafts were fashioned from Gianturco Z-stents covered with Dacron graft material and implanted with the distal attachment site in the iliac system ipsilateral to the transplant kidney arterial anastomosis. The body of the stent-graft was reinforcement with a Wallstent in each case before the contralateral common iliac artery was occluded and the cross-femoral bypass constructed. Both patients recovered uneventfully from the procedure and are free of endoleak or other complications related to their aneurysm repair at 7 and 34 months. Conclusions: The presence of a pelvic renal transplant in a patient undergoing endovascular AAA repair increases the complexity of procedural planning and endograft implantation, but a good outcome can be achieved.