{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:40:10Z","timestamp":1756291210139,"version":"3.44.0"},"reference-count":17,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,1,6]]},"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:p>Arterial injury leading to vascular occlusion is a rare complication of kidney transplantation that requires urgent intervention to salvage the kidney and prevent graft loss. Occasionally, the recipient iliac vessels may be injured, resulting in acute ischaemia of the lower extremity in addition to loss of blood flow to the kidney transplant. In the case presented here, a 58-year-old man with chronic kidney disease secondary to IgA nephropathy underwent pre-emptive deceased donor renal transplantation complicated by an external iliac artery (EIA) dissection proximal to the transplant anastomosis. However, as a result of retrograde blood flow from collateral vessels, perfusion of the kidney and right lower extremity was initially preserved and early diagnosis was made after post-transplant ultrasound. This report reviews the aetiology, clinical features and therapeutic options for arterial injuries post-transplant. This case also highlights the importance of post-transplant vigilance and the value of routine postoperative ultrasound imaging.<\/jats:p>","DOI":"10.1136\/bcr-2021-247347","type":"journal-article","created":{"date-parts":[[2022,2,7]],"date-time":"2022-02-07T11:36:08Z","timestamp":1644233768000},"page":"e247347","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Rescue of an asymptomatic arterial occlusion after kidney transplant"],"prefix":"10.1136","volume":"15","author":[{"given":"Yash","family":"Kadakia","sequence":"first","affiliation":[{"name":"The University of Texas Southwestern Medical Center, Dallas, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Surgical Transplantation, The University of Texas Southwestern Medical Center, Dallas, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7683-6945","authenticated-orcid":false,"given":"Malcolm","family":"MacConmara","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Surgical Transplantation, The University of Texas Southwestern Medical Center, Dallas, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,2,7]]},"reference":[{"key":"2025082703002750000_15.2.e247347.1","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1016\/j.transproceed.2011.01.007","article-title":"Analysis of vascular complications after renal transplantation","volume":"43","author":"Aktas","year":"2011","journal-title":"Transplant Proc"},{"key":"2025082703002750000_15.2.e247347.2","first-page":"79","article-title":"Vascular complications after renal transplant: a single-center experience","volume":"15","author":"Ayvazoglu Soy","year":"2017","journal-title":"Exp Clin Transplant"},{"key":"2025082703002750000_15.2.e247347.3","first-page":"504","article-title":"Immediate vascular complications after kidney transplant: experience from 2100 recipients","volume":"15","author":"Tavakkoli","year":"2017","journal-title":"Exp Clin Transplant"},{"key":"2025082703002750000_15.2.e247347.4","doi-asserted-by":"publisher","DOI":"10.4103\/0970-1591.109983"},{"key":"2025082703002750000_15.2.e247347.5","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfp003"},{"key":"2025082703002750000_15.2.e247347.6","doi-asserted-by":"crossref","first-page":"W479","DOI":"10.2214\/AJR.12.10310","article-title":"Immediate postoperative sonography of renal transplants: vascular findings and outcomes","volume":"201","author":"Horrow","year":"2013","journal-title":"AJR Am J Roentgenol"},{"key":"2025082703002750000_15.2.e247347.7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2009.02834.x"},{"key":"2025082703002750000_15.2.e247347.8","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1007\/s40477-014-0085-6","article-title":"Renal transplant vascular complications: the role of Doppler ultrasound","volume":"18","author":"Granata","year":"2015","journal-title":"J Ultrasound"},{"key":"2025082703002750000_15.2.e247347.9","doi-asserted-by":"crossref","first-page":"480862","DOI":"10.5402\/2013\/480862","article-title":"Ultrasonographic features of kidney transplants and their complications: an imaging review","volume":"2013","author":"Kolofousi","year":"2013","journal-title":"ISRN Radiol"},{"key":"2025082703002750000_15.2.e247347.10","doi-asserted-by":"crossref","DOI":"10.1186\/s12882-020-1699-x","article-title":"Unexpected presentation and surgical salvage of transplant renal artery dissection caused by vascular clamping: a case report","volume":"21","author":"Hori","year":"2020","journal-title":"BMC Nephrol"},{"key":"2025082703002750000_15.2.e247347.11","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2014-204160","article-title":"External iliac artery dissection causing early renal transplant dysfunction","volume":"2014","author":"Lee","year":"2014","journal-title":"BMJ Case Rep"},{"key":"2025082703002750000_15.2.e247347.12","doi-asserted-by":"crossref","first-page":"123","DOI":"10.12945\/j.aorta.2013.12.012","article-title":"Dissection of iliac artery in a patient with autosomal dominant polycystic kidney disease: a case report","volume":"1","author":"Courtois","year":"2013","journal-title":"Aorta"},{"key":"2025082703002750000_15.2.e247347.13","first-page":"101429","article-title":"Iliac artery dissection - 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