Exvivo renal revascularization and autotransplantation for renal artery aneurysm with secondary hypertension

YAN Yong-li; et al

doi:10.13406/j.cnki.cyxb.2010.06.043

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Exvivo renal revascularization and autotransplantation for renal artery aneurysm with secondary hypertension

更新时间：2024-01-17

- Exvivo renal revascularization and autotransplantation for renal artery aneurysm with secondary hypertension
- Journal of Chongqing Medical University Vol. 35, Issue 6, Pages: 955-957(2010)
- 作者机构：
  
  1. 重庆医科大学附属第一医院泌尿外科
  2. 重庆医科大学附属第一医院血管外科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2010.06.043
  CLC： R737.11
- Published：2010，
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[1]颜永立,肖明朝,苟欣,王明,何卫阳,赵渝.离体肾动脉瘤切除和自体肾移植术治疗肾动脉瘤[J].重庆医科大学学报,2010,35(06):955-957.

YAN Yong-li, et al. Exvivo renal revascularization and autotransplantation for renal artery aneurysm with secondary hypertension. [J]. Journal of Chongqing Medical University 35(6):955-957(2010)
[1]颜永立,肖明朝,苟欣,王明,何卫阳,赵渝.离体肾动脉瘤切除和自体肾移植术治疗肾动脉瘤[J].重庆医科大学学报,2010,35(06):955-957. DOI： 10.13406/j.cnki.cyxb.2010.06.043.

YAN Yong-li, et al. Exvivo renal revascularization and autotransplantation for renal artery aneurysm with secondary hypertension. [J]. Journal of Chongqing Medical University 35(6):955-957(2010) DOI： 10.13406/j.cnki.cyxb.2010.06.043.

摘要

目的:探讨离体肾动脉瘤切除和自体肾移植方法治疗肾动脉瘤的安全性和可行性。方法:肾动脉造影检查确诊右肾动脉瘤1例伴高血压（160/110mmHg）。病变位于右肾动脉主干中段处

大小为11mm×20mm。在低温和肾脏灌注液灌注保护下

肾脏暂时离体

切除动脉瘤并取自体大隐静脉一段行肾动脉重建

然后将肾脏移植到右侧髂窝。结果:手术成功

患者围手术期无严重并发症发生。术后随访6个多月

血压稳定在135/90mmHg

肾功能正常

移植肾血管彩超示血管吻合良好

血流通畅。结论:该法治疗右肾动脉瘤继发高血压安全可行。

Abstract

Objective:To discuss the safety and feasibility of ex vivo renal revascularization and autotransplantation for renal artery aneurysm with secondary hypertension. Methods:A right renal artery aneurysm(11mm×20mm)with acute hypertension(160/110mmHg) located in the middle of the main renal artery was diagnosed by Renal artery angiography. After aneurysmectomy and temporary nephrectomy

renal revascularization was done with the kidney protected by hypothermia and continuous perfusion with preservation solution

and then the kidney was replanted into the right iliac fossa.Results:The operation was successful. There were no significant perioperative complications. The patient was followed up for more than 6 months

the blood pressure stabilized at about 135/90 mmHg basically after the surgery. Renal function was normal and color Doppler ultrasonograph showed that the blood circulation in the transferred renal artery was smooth.Conclusion:This technique treating renal artery aneurysm with secondary hypertension is safe and feasible.

关键词

肾动脉动脉瘤肾动脉重建肾移植肾血管性高血压

Keywords

Renal arteryaneurysmRenal revascularizationkidney transplantationRenovascular hypertension

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