Volume : IX, Issue : I, January - 2019

Imaging of Anastomotic Pseudoaneurysm in Renal Allograft : 0ur Centre experience

Dr. Kajal N. Patel, Dr. Shruti Mehta

Abstract :

Introduction: Renal arterial pseudoaneurysm is a rare complication of renal transplantation that often causes a graft loss. The existence of very small series of patients with anastomotic pseudoaneurysm after renal transplantation and isolated case reports published in current literature indicates it is rare. Controversies persist in eliciting the etiology, occurrence, indications for repair, treatment options and prognosis. Imaging plays a major role and so that inspire us to present our experience with pseudoaneurysm after renal transplant. Aim : To determine the incidence of anastomotic pseudoaneurysm in renal allograft in our centre and to discuss role of different imaging modalities in detection of aneurysms and treatment options Material and Method : This is retrospective observational study. The data were retrieved prospectively from imaging reports. Academic council permission was taken to review the data. Between June 2010 to June 2018, total 2720 renal transplantation were performed in our institute. Out of these, 513 were deceased donor transplantation and 2207 were live related transplantation. All patients underwent color and duplex Doppler ultrasound examination on the 1st postoperative day, then as and when needed clinically or biochemically. CT angiography was performed in all cases for detailed evaluation. Results: We found 6 renal transplant recipients with anastomotic pseudoaneurysm; out of these 4 were live related transplantation (0.22%) 1 was cadaveric transplantation (0.34%) and 1 was autotrasplantation. Incidence of graft loss in our study was 83 % and mortality rate was 16.6% Conclusion: Though rare, the development of an extra renal pseudoaneurysm at anastomosis of transplant renal artery can carry a potentially devastating loss of allograft. Early diagnosis and timely management is the most important factors in the survival of patients

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

IMAGING OF ANASTOMOTIC PSEUDOANEURYSM IN RENAL ALLOGRAFT : 0UR CENTRE EXPERIENCE, Dr.Kajal N. Patel, Dr.Shruti Mehta INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-1 | January-2019

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