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Ureteroureterostomy With Near-Infrared Ray Catheter in a Kidney Transplant.

التفاصيل البيبلوغرافية
العنوان: Ureteroureterostomy With Near-Infrared Ray Catheter in a Kidney Transplant.
المؤلفون: Takai S; Department of Urology, Yamagata University Faculty of Medicine, Yamagata, JPN., Nishida H; Department of Urology, Yamagata University Faculty of Medicine, Yamagata, JPN., Fukuhara H; Department of Urology, Yamagata University Faculty of Medicine, Yamagata, JPN., Kurokawa M; Department of Urology, Jichi Medical University Faculty of Medicine, Shimotsuke, JPN., Tsuchiya N; Department of Urology, Yamagata University Faculty of Medicine, Yamagata, JPN.
المصدر: Cureus [Cureus] 2024 Apr 05; Vol. 16 (4), pp. e57687. Date of Electronic Publication: 2024 Apr 05 (Print Publication: 2024).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Transplant ureteral stenosis (US) is a complication of kidney transplantation (KT) that sometimes adversely affects kidney function. Endoscopic treatment may be selected as the initial treatment; however, the recurrence rate is high. Ureteral reconstruction is necessary as a secondary treatment, but it is often difficult to identify the transplanted ureter due to reoperation; therefore, transplanted ureter and renal arteriovenous injury are intraoperative complications that should be noted. The Near-Infrared Ray Catheter (NIRC™) fluorescent ureteral catheter (NIRFUC) fluoresces by illuminating near-infrared rays, facilitating the identification of intraoperative ureteral locations. Herein, we report the case of a 34-year-old woman who developed US following KT. She underwent balloon dilation for transplant US, but the stenosis recurred; therefore, she underwent transplant ureteral auto-ureteral anastomosis. Although it was difficult to identify and detach the transplanted ureter owing to adhesions, the use of NIRFUC facilitated the identification of the ureter in the surgical field and enabled safe end-side anastomosis between the transplanted ureter and the autologous ureter. In conclusion, although there is no consensus on the best method for complex transplantation-related US cases, NIRFUC may be used to safely identify and perform surgeries on the ureter.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Takai et al.)
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فهرسة مساهمة: Keywords: kidney transplantation; near-infrared ray catheter; surgical therapy; ureteral stenosis; ureteroureterostomy
تواريخ الأحداث: Date Created: 20240507 Latest Revision: 20240508
رمز التحديث: 20240508
مُعرف محوري في PubMed: PMC11070896
DOI: 10.7759/cureus.57687
PMID: 38711694
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.57687