Objective To investigate the treatment of vascular complications after renal transplantation and the replacement therapy of blood vessels in an emergency.
Method Two patients with repeated external iliac artery bleeding after renal transplantation received treatment in Transplantation Center of the Third Xiangya Hospital of Central South University from December 2009 to March 2012. After surgical exploration, the reason of bleeding was burst of the anastomotic external iliac artery in two cases. Then anastomotic external iliac artery was removed and the ipsilateral autologous limb's great saphenous vein was taken for reversed replacement of external iliac artery.
Result Both patients recovered well after the operation with normal lower limb blood supply and free walk. One patient survived for four years with no postoperative bleeding again. Another patient had recovered for more than one year with normal the lower limb blood supply.
Conclusion Repeated external iliac artery rupture hemorrhage after renal transplantation is one of the serious complications which results in death. Emergency treatment is very important and autologous vascular reconstruction may be a more effective and convenient treatment.
DownLoad: