SciELO - Scientific Electronic Library Online

 
vol.12 número2Doenca venosa cronica como manifestacao clinica de osteocondroma tibialDisseccao da arteria carotida interna em paciente com sindrome de Ehlers-Danlos tipo IV: diagnostico e manejo índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

Compartilhar


Jornal Vascular Brasileiro

versão impressa ISSN 1677-5449

Resumo

SOUSA, Willamax Oliveira de; SILVA, Francisco Henrique Peixoto da; AQUINO FILHO, Roberto Jamacaru  e  PAZ, Danilo Rocha. Endovascular treatment of external iliac vein stenosis caused by graft compression after kidney transplantation. J. vasc. bras. [online]. 2013, vol.12, n.2, pp.170-173. ISSN 1677-5449.  http://dx.doi.org/10.1590/S1677-54492013000200014.

A 57-year old patient presented with approximately 80% stenosis of the left external iliac vein due to compression by the renal graft after kidney transplantation. The initial clinical manifestation of this vascular complication was progressive edema of the left lower limb, starting in the foot during the immediate postoperative period and reaching the thigh. Renal function also deteriorated during the first four months after transplantation. Venous Doppler ultrasound findings were suggestive of a diagnosis of extrinsic compression by the kidney graft and so phlebography was ordered, confirming stenosis of the left external iliac vein. The patient was initially treated with balloon angioplasty, but there was still residual stenosis so a stent was inserted, eliminating the stenosis. The edema reduced over time and the patient's renal function improved. While vascular complications are rare, and potentially severe, events, success rates are good if treatment is started early.

Palavras-chave : kidney transplantation; postoperative complications; angioplasty.

        · resumo em Português     · texto em Português | Inglês     · Português ( pdf ) | Inglês ( pdf )