Ulus Travma Acil Cerrahi Derg. 2023; 29(8): 944-947 | DOI: 10.14744/tjtes.2023.97284

Renal transplantasyon sýrasýnda internal iliak arter transpozisyonu uygulanarak eksternal iliak arter diseksiyonu onarýmý

Necmi Bayraktar
Burhan Nalbantoðlu Devlet Hastanesi, Üroloji Departmaný, Lefkoþa, KKTC

Greft ve cerrahiye baðlý komplikasyonlar böbrek nakli cerrahisinde hala sorun teþkil etmektedir. Ameliyata baðlý vasküler komplikasyonlar ciddi olabilir ve hem greft hem de alýcýnýn yaþamýný tehdit edebilir. Perioperatif ve postoperatif taný konulan vasküler komplikasyonlar için literatürde çeþitli tedavi yaklaþýmlarý tanýmlanmýþtýr. Ancak, hangi yaklaþýmýn hangi dönemde ve hangi koþullarda uygulanacaðý konusunda uzun vadeli sonuçlar veren çalýþmalar sýnýrlýdýr. Bu olgu sunumunda, renal transplantasyona baðlý eksternal iliak arter diseksiyonunun internal iliak arter transpozisyonu ile onarýlmasý ve 6 yýllýk hasta takip deneyimimizi paylaþtýk.

Anahtar Kelimeler: Eksternal iliak arter diseksiyonu, internal iliak arter transpozisyonu, böbrek nakli; vask.

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Repair experience of external iliac artery dissection using internal iliac artery transposition during renal transplantation

Necmi Bayraktar
Department of Urology, Burhan Nalbantoglu State Hospital, Nicosia-Turkish Republic of Northern Cyprus (TRNC)

Graft and surgery-related complications still pose a problem in kidney transplant surgery. Vascular complications due to surgery can be severe, threatening both graft and recipient life. Various treatment approaches have been described in the literature for vascular complications diagnosed peri-operatively and post-operatively. However, studies that provide long-term results on which approach will be applied in which period and in which conditions are limited. In this case report, we share our 6-year patient follow-up experience and repair of external iliac artery dissection related to renal transplantation with internal iliac artery transposition.

Keywords: External iliac artery dissection, internal iliac artery transposition, kidney transplantation; vascular emergencies; vascular injury.

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