Orthotopic kidney transplantation from a living renal donor after interventional therapy for bilateral arteriosclerosis obliterans of the iliac arteries: A case report and literature review
Introduction Orthotopic kidney transplantation is an option when heterotopic kidney transplantation into the iliac fossa is inappropriate. We report a case of orthotopic kidney transplantation following stenting of both external iliac arteries to treat arteriosclerosis obliterans. Case presentation...
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| Format: | Article |
| Language: | English |
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Wiley
2023-11-01
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| Series: | IJU Case Reports |
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| Online Access: | https://doi.org/10.1002/iju5.12640 |
| _version_ | 1797627726376468480 |
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| author | Takehiro Ohyama Hajime Sasaki Kyoko Minamisono Sho Nishida Daiki Iwami |
| author_facet | Takehiro Ohyama Hajime Sasaki Kyoko Minamisono Sho Nishida Daiki Iwami |
| author_sort | Takehiro Ohyama |
| collection | DOAJ |
| description | Introduction Orthotopic kidney transplantation is an option when heterotopic kidney transplantation into the iliac fossa is inappropriate. We report a case of orthotopic kidney transplantation following stenting of both external iliac arteries to treat arteriosclerosis obliterans. Case presentation A 56‐year‐old woman on hemodialysis for end‐stage kidney disease underwent living‐donor kidney transplantation. Desensitization therapy was administered because of her history of sensitization by pregnancy. Stents had been placed previously in both external iliac arteries. The left kidney was removed via an oblique lumbar incision. The two graft arteries were conjoined and anastomosed to the native renal artery end‐to‐end. The urinary tract was reconstructed by uretero‐ureterostomy with ureteral stent placement. Renal function improved promptly after surgery. Conclusion Preoperative imaging of vascular anatomy is important for successful orthotopic kidney transplantation in patients who have previously undergone stenting of both external iliac arteries for arteriosclerosis obliterans. |
| first_indexed | 2024-03-11T10:28:26Z |
| format | Article |
| id | doaj.art-3ab706ce67f14b118c575173e1c72473 |
| institution | Directory Open Access Journal |
| issn | 2577-171X |
| language | English |
| last_indexed | 2024-03-11T10:28:26Z |
| publishDate | 2023-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj.art-3ab706ce67f14b118c575173e1c724732023-11-15T06:01:08ZengWileyIJU Case Reports2577-171X2023-11-016642843210.1002/iju5.12640Orthotopic kidney transplantation from a living renal donor after interventional therapy for bilateral arteriosclerosis obliterans of the iliac arteries: A case report and literature reviewTakehiro Ohyama0Hajime Sasaki1Kyoko Minamisono2Sho Nishida3Daiki Iwami4Division of Renal Surgery and Transplantation, Department of Urology Jichi Medical University Hospital Tochigi JapanDivision of Renal Surgery and Transplantation, Department of Urology Jichi Medical University Hospital Tochigi JapanDivision of Renal Surgery and Transplantation, Department of Urology Jichi Medical University Hospital Tochigi JapanDivision of Renal Surgery and Transplantation, Department of Urology Jichi Medical University Hospital Tochigi JapanDivision of Renal Surgery and Transplantation, Department of Urology Jichi Medical University Hospital Tochigi JapanIntroduction Orthotopic kidney transplantation is an option when heterotopic kidney transplantation into the iliac fossa is inappropriate. We report a case of orthotopic kidney transplantation following stenting of both external iliac arteries to treat arteriosclerosis obliterans. Case presentation A 56‐year‐old woman on hemodialysis for end‐stage kidney disease underwent living‐donor kidney transplantation. Desensitization therapy was administered because of her history of sensitization by pregnancy. Stents had been placed previously in both external iliac arteries. The left kidney was removed via an oblique lumbar incision. The two graft arteries were conjoined and anastomosed to the native renal artery end‐to‐end. The urinary tract was reconstructed by uretero‐ureterostomy with ureteral stent placement. Renal function improved promptly after surgery. Conclusion Preoperative imaging of vascular anatomy is important for successful orthotopic kidney transplantation in patients who have previously undergone stenting of both external iliac arteries for arteriosclerosis obliterans.https://doi.org/10.1002/iju5.12640arteriosclerosis obliteransend‐stage kidney diseaseorthotopic kidney transplantationrenal transplantation |
| spellingShingle | Takehiro Ohyama Hajime Sasaki Kyoko Minamisono Sho Nishida Daiki Iwami Orthotopic kidney transplantation from a living renal donor after interventional therapy for bilateral arteriosclerosis obliterans of the iliac arteries: A case report and literature review IJU Case Reports arteriosclerosis obliterans end‐stage kidney disease orthotopic kidney transplantation renal transplantation |
| title | Orthotopic kidney transplantation from a living renal donor after interventional therapy for bilateral arteriosclerosis obliterans of the iliac arteries: A case report and literature review |
| title_full | Orthotopic kidney transplantation from a living renal donor after interventional therapy for bilateral arteriosclerosis obliterans of the iliac arteries: A case report and literature review |
| title_fullStr | Orthotopic kidney transplantation from a living renal donor after interventional therapy for bilateral arteriosclerosis obliterans of the iliac arteries: A case report and literature review |
| title_full_unstemmed | Orthotopic kidney transplantation from a living renal donor after interventional therapy for bilateral arteriosclerosis obliterans of the iliac arteries: A case report and literature review |
| title_short | Orthotopic kidney transplantation from a living renal donor after interventional therapy for bilateral arteriosclerosis obliterans of the iliac arteries: A case report and literature review |
| title_sort | orthotopic kidney transplantation from a living renal donor after interventional therapy for bilateral arteriosclerosis obliterans of the iliac arteries a case report and literature review |
| topic | arteriosclerosis obliterans end‐stage kidney disease orthotopic kidney transplantation renal transplantation |
| url | https://doi.org/10.1002/iju5.12640 |
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