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Il Giornale Italiano di Radiologia Medica 2018 Marzo-Aprile;5(2):208-11

DOI: 10.23736/S2283-8376.18.00052-9

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: Italian

Advantages of percutaneous renal artery embolization of transplanted kidney: three-year experience in a single center

Aldo V. GIORDANO 1, Sergio CARDUCCI 1, Marco VARRASSI 1, Andrea MANCINI 2, Federico BRUNO 2 , Simone QUARCHIONI 2, Carlo MASCIOCCHI 2

1 UOC Radiologia Interventistica e Neuroradiologia, Dipartimento di Tecnologie Pesanti, Ospedale “San Salvatore”, L’Aquila, Italia; 2 Radiologia Diagnostica ed Interventistica, Dipartimento di Scienze Cliniche Applicate e Biotecnologiche, Università degli Studi dell’Aquila, L’Aquila, Italia


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BACKGROUND: The aim of our study was to report, in light of the literature data, our experience of arterial embolization, as a presurgical procedure, in patients with chronic kidney transplant failure, candidates for nephrectomy.
METHODS: We retrospectively analyzed the arterial embolization procedures of the transplanted renal artery of 32 patients who were candidates for explantation for non-functioning transplanted kidney and graft intolerance syndrome in the period between January 2013 and January 2016.
RESULTS: In 93.7% of the patients there was technical procedural success (complete renal neo-artery occlusion). In 2 patients (6.3%) no coils were implanted due to angiographic non-visualization of the renal neo-artery or due to thrombosis of the renal artery shortly after the origin. There were no major procedural complications.
CONCLUSIONS: According to literature data, our study shows that in renal transplant recipients for non-functioning kidney transplants, embolization of the renal neo-artery represents a minimally invasive procedure that, prior to surgery, drastically reduces bleeding and infectious complications.


KEY WORDS: Embolization, therapeutic - Arteries - Kidney transplantation - Nephrectomy, complications - Radiology, interventional

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