# Common Iliac Artery Thrombosis following Pelvic Surgery Resulting in Kidney Allograft Failure Successfully Treated by Percutaneous Transluminal Angioplasty with Balloon-Expandable Covered Stent

## TL;DR

A 66-year-old woman's kidney transplant failed after a pelvic surgery complication, but it was successfully treated with a stent procedure.

## Contribution

This is the first reported case of successful kidney allograft rescue after common iliac artery thrombosis following pelvic surgery.

## Key findings

- Acute kidney allograft failure occurred due to common iliac artery thrombosis after hysterectomy.
- Percutaneous transluminal angioplasty with a covered stent successfully restored graft function.
- This case highlights a novel treatment approach for a rare post-surgical complication.

## Abstract

We report the case of a 66-year-old woman who developed acute kidney allograft failure due to thrombotic occlusion of the common iliac artery after hysterectomy requiring emergent allograft rescue. She underwent percutaneous transluminal angioplasty with endovascular balloon expandable covered stent graft placement in the right common iliac artery. Although there are a handful of case reports of acute limb ischemia secondary to acute common iliac artery thrombosis, this is the first case reported in the literature resulting in successful kidney allograft rescue following pelvic surgery.