Abdominal Aortic Aneurysm Repair in Renal and Liver Transplant Recipients.

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/

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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
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:	https://www.ncbi.nlm.nih.gov/pubmed/3160...
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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