Management of Transplant Renal Artery Pseudoaneurysm and Literature Review

Table 1

Summary of our three cases, including clinical presentations, treatments, and outcomes.

	Age	Time since transplant	Organisms cultured in urine posttransplant	Organisms cultured in blood posttransplant	Diagnosis on imaging	Outcome
Recipient 1	68	2.5 weeks	Pseudomonas aeruginosa (on admission)	Pseudomonas aeruginosa (on admission)	CTA: hematoma with active bleed from IPA of donor renal artery	Nephrectomy
Recipient 2	69	27 weeks	Enterococcus faecalis (on admission)	Bacteroides (week 4); Enterococcus faecalis (on admission)	Noncontrast CT:  cm mass highly suspicious for blood components, seen in the same area of the pseudoaneurysm seen in his initial ultrasound	Endovascular exclusion via covered stent
Recipient 3	64	6 weeks	Vancomycin-resistant Enterococcus faecium and Candida tropicalis (week 1); Pseudomonas aeruginosa; (week 5); Vancomycin-resistant Enterococcus faecium (week 6)	N/A	Angiography: large and small pseudoaneurysms arising from the proximal and midtransplant renal artery, respectively	Large PA: coil embolization  mm covered stent; Small PA:  mm covered stent