Marie Y, Kumar A, Hinchliffe S, Curran S, Brown P, Turner D, Shrestha B. Treatment of transplant renal artery pseudoaneurysm using expandable hydrogel coils: A case report and review of literature. World J Transplantation 2018; 8(6): 232-236 [PMID: 30370233 DOI: 10.5500/wjt.v8.i6.232]
Corresponding Author of This Article
Badri Shrestha, MD MS MPhil FRCS (Eng, Edin and Gen), FACS, FEBS Consultant Transplant Surgeon, Sheffield Kidney Institute, Sheffield Teaching Hospitals NHS Foundation Trust, Herries Road, Sheffield S5 7AU, United Kingdom. shresthabm@doctors.net.uk
Research Domain of This Article
Transplantation
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Transplantation. Oct 22, 2018; 8(6): 232-236 Published online Oct 22, 2018. doi: 10.5500/wjt.v8.i6.232
Treatment of transplant renal artery pseudoaneurysm using expandable hydrogel coils: A case report and review of literature
Yazin Marie, Avneesh Kumar, Sarah Hinchliffe, Simon Curran, Peter Brown, Douglas Turner, Badri Shrestha
Yazin Marie, Avneesh Kumar, Sarah Hinchliffe, Simon Curran, Badri Shrestha, Sheffield Kidney Institute, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S5 7AU, United Kingdom
Peter Brown, Douglas Turner, Radiology Department, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S5 7AU, United Kingdom
Author contributions: Marie Y and Shrestha B managed the patient and prepared the manuscript; Kumar A, Hinchliffe S and Curran S were involved in managing the patient and contributed to manuscript preparation; Brown P and Turner D performed radiological investigations, managed the patient and contributed to manuscript preparation.
Informed consent statement: The patient involved in this study gave his written informed consent authorizing use and disclosure of her protected health information.
Conflict-of-interest statement: All authors have no conflicts of interests to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Badri Shrestha, MD MS MPhil FRCS (Eng, Edin and Gen), FACS, FEBS Consultant Transplant Surgeon, Sheffield Kidney Institute, Sheffield Teaching Hospitals NHS Foundation Trust, Herries Road, Sheffield S5 7AU, United Kingdom. shresthabm@doctors.net.uk
Telephone: +44-11-42434343 Fax: +44-11-42714604
Received: March 9, 2018 Peer-review started: March 11, 2018 First decision: March 30, 2018 Revised: April 28, 2018 Accepted: October 8, 2018 Article in press: October 8, 2018 Published online: October 22, 2018 Processing time: 223 Days and 13.8 Hours
Abstract
Transplant renal artery (TRA) pseudoaneurysm can result in bleeding, infection, graft dysfunction and graft loss. We report the management of a renal transplant recipient who presented five months after renal transplantation with deterioration of renal function, who was found to have TRA pseudoaneurysm and TRA stenosis. Both were treated radiologically by using expandable hydrogel coils (EHC) in combination with stenting. Improvement in clinical, biochemical and radiological parameters were observed after the intervention. To our knowledge, this is the first report in the transplant literature on the use of EHC for the treatment of a TRA pseudoaneurysm.
Core tip: Transplant renal artery (TRA) pseudoaneurysm is an uncommon complication after renal transplantation, which can cause transplant dysfunction, bleeding, infection and graft loss. Expandable hydrogel coils should be considered in the treatment of TRA pseudoaneurysm as they have been effective in our patient.
