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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

A Journal on Vascular and Endovascular Surgery


Official Journal of the Italian Society of Vascular and Endovascular Surgery
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Giornale Italiano di Chirurgia Vascolare 1999 June;6(2):129-38

language: English, Italian

Endovascular treat­ment of a ­false aneu­rysm in the ­site of neph­rec­to­my of a trans­plant­ed kid­ney

Freyrie A., Rossi C. *, Cirelli M. R., Tedesco A., Leone M., Gaiani S. °, Curti T., Stella A.

From the Department of Surgical and Anesthesiological Science,
* Clinical Department of Radiology Science and Histocytopathology
** Department of Internal Medicine and Gastroenterology
University of Bologna, Bologna, Italy


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Isolated aneu­rysms of the ­iliac dis­trict are a ­rare pathol­o­gy, ­with a fre­quen­cy of ­less ­than 0.05%. Following aor­toi­liac sur­gery, ­false aneu­rysms ­have an inci­dence rang­ing ­between 6.3 to 12.3%. The ­authors ­report the ­case of a 49-­year-old wom­an ­with chron­ic ­renal insuf­fi­cien­cy in hemo­di­al­y­sis, who under­went a kid­ney trans­plant at the age of 31 on the ­left exter­nal ­iliac ­artery and at 34 ­years the remov­al of the trans­plant­ed kid­ney ­owing to chron­ic rejec­tion. Fifteen ­years ­after the kid­ney ­explant, a ­false aneu­rysm was diag­nosed ­with a diam­e­ter of 10 cm, involv­ing the ­left exter­nal ­iliac ­artery, the ­site of the pre­vi­ous ­explant. This aneu­rysm was treat­ed ­using endo­vas­cu­lar pro­ce­dures by posi­tion­ing a cov­ered ­stent; 48 h ­after the inser­tion of the endo­pros­the­sis, the exclud­ed aneu­rys­mat­ic effu­sion was ­drained ­using a per­cut­ane­ous ­device, ­under ultra­son­o­graph­ic con­trol. Colour Doppler son­o­graph­ic con­trols per­formed dur­ing the fol­low-up con­firmed the cor­rect posi­tion of the endo­pros­the­sis and an ­almost com­plete res­o­lu­tion of the exclud­ed aneu­rys­mat­ic effu­sion. The ­authors dis­cuss the indi­ca­tions and meth­ods of treat­ment, ­also in rela­tion to oth­er expe­ri­enc­es report­ed in the lit­er­a­ture.

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