Endovascular Repair of XXXX in the Presence of a Transplanted Kidney.

@entity1 @entity8 @entity439 @entity1028
PURPOSE: To present our experience performing endovascular repair of @entity1028 in kidney transplanted @entity1 . METHODS: A retrospective review of all @entity1 who underwent @entity439 repair (EVAR) for @entity1028 ( @entity1028 ) performed at our institution from 2007 to 2014. We identified all @entity1 who had previously undergone a kidney transplant. Data collected included: comorbidities, preoperative imaging modalities, indication for surgery, stent graft configurations, pre- and @entity8 , and survival rates. RESULTS: A total of 267 EVARs were performed. Six (2  %) had a transplanted kidney. Mean age was 74 (range, 64-82) years; five were males. Mean time from transplantation to EVAR was 7.5 (range, 2-12) years. Five underwent preoperative planning with noncontrast modalities only. Devices used included bifurcated (n  =  3), aortouniiliac (n  =  2), and tube (n  =  1) stent grafts. Technical success was achieved in all @entity1 . None experienced deterioration in renal function. Median follow-up was 39 (range, 6-51) months. Four @entity1 were alive at the time of the study. Two @entity1 expired during the period of follow-up from unrelated causes. CONCLUSIONS: EVAR is an effective modality for the management of AAAs in the coexistence of a transplanted kidney. It can be performed with minimal morbidity and mortality without harming the transplanted kidney. Special consideration should be given to device configuration to minimize damage to the renal graft.
