Endovascular Repair of Iliac Artery Pseudoaneurysm Complicating Renal Transplantation

Objective: Pseudoaneurysm of the arterial anastomosis is an uncommon complication following renal transplantation. Material and method: A month after a cadaveric kidney transplant, a 44-yearold man had increased serum creatinine; routine Doppler ultrasound and computed tomography scans showed a pseudoaneurysm of the external iliac artery at the anastomosis to the recipient renal artery and thrombosis of the iliac artery (14 mm long) after the pseudoaneurysm. Results: The patient was treated by two wallgraft endoprostheses at the level of the arterial anastomosis, sacrificing the transplant. The non-functioning organ was left in situ and the patient returned to regular haemodialysis. Conclusion: Endovascular stent grafting is a valuable therapeutic option for extrarenal pseudoaneurysm after kidney transplantation.