Experience in Kidney Transplantectomy with Temporary Iliac Arterial Occlusion for Bleeding Control..

The first paragraph is an introduction. In cases of graft intolerance syndrome, premature failure, chronic inflammation, persistent infections, and cancer, about 16% of transplanted kidneys require surgical removal. When suggested, the open nephrectomy is the standard treatment, with mortality rates ranging from 6 to 14 percent and as high as 38 percent in extreme cases. The purpose of this case report is to describe a case of renal transplantation in a high-risk patient with intraoperative use of an iliac intravascular balloon catheter to manage bleeding. Reviewing the medical record, photographing the operation, and reading the literature provided the details. In this case, a vascular balloon catheter was used to temporarily occlude the iliac artery, which proved to be successful in controlling bleeding during graft removal in a patient with a high surgical risk.

Conclusions: Transplantectomy is associated with a high rate of mortality, particularly in cases of acute indication for the operation, and blood loss is an independent factor linked to increased morbidity, mortality, and length of stay in the hospital. In this way, the recorded case's intraoperative use of a transient iliac intravascular balloon catheter allowed for bleeding control during graft nephrectomy in a high-risk surgical patient. As a result, the surgical time was reduced, the need for transfusion was reduced, and anaesthetic management was safe, indicating that this method could be used in situations where the graft needed to be removed urgently.

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