Premaratne, Sobath, Hopkins, Jonathan, Duddy, Martin, Sang, Ket Tai, Kay, Mark, Rogoveanu, Radu, Nicholl, Phil and Tiwari, Alok (2019) Abdominal Aortic Aneurysm Repair in Renal and Liver Transplant Recipients. Vascular and endovascular surgery. p. 1538574419880673. ISSN 1938-9116. This article is available to all UHB staff and students login using a UHB Athens Account. Register for Athens here - https://openathens.nice.org.uk/
Full text not available from this repository.Abstract
BACKGROUND
Abdominal aortic aneurysm (AAA) repair in patients with organ transplant remains a challenge. We looked at AAA repair in patients with organ transplants at our tertiary liver and kidney transplant unit.
METHODS
A retrospective analysis of a prospectively maintained database was undertaken from January 2008 to July 2018. We looked at patient demographics, type of repair, and technical success including reinterventions, perioperative transplant organ function, and 30-day and 1-year survival rate. Eight of 662 patients who underwent AAA repair had a solid organ transplant. Of these, 5 were kidney transplants, 2 liver transplants, and 1 had kidney and liver transplant; 75% were male; and average age was 63.4 (range: 49-83). All patients had asymptomatic AAAs, and 6 were treated with standard endovascular repair, 1 standard repair with iliac branch device, and 1 open repair. Adjunctive techniques such as CO angiograms, deployment of main body through contralateral iliac, low-profile sheaths, custom-made stent grafts, and temporary axillo-femoral shunting were used to protect transplant organs. Thirty-day survival was 100% with 1 death at 5 months from liver failure, and 1 patient has a persistent type-2 endoleak 3 years after the procedure.
CONCLUSION
Abdominal aortic aneurysm repair in patients with organ transplants can be undertaken using adjunctive endovascular and open surgical techniques.
Item Type: | Article |
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Additional Information: | This article is available to all UHB staff and students login using a UHB Athens Account. Register for Athens here - https://openathens.nice.org.uk/ |
Subjects: | WG Cardiovascular system. Cardiology WJ Urogenital system. Urology |
Divisions: | Planned IP Care > Vascular |
Related URLs: | |
Depositing User: | Mr Philip O'Reilly |
Date Deposited: | 21 Oct 2019 11:19 |
Last Modified: | 05 May 2022 07:24 |
URI: | http://www.repository.uhblibrary.co.uk/id/eprint/2509 |
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