PMID: 7034395Nov 1, 1981Paper

Arterial stenosis of the transplanted kidney (clinical aspects, diagnosis and treatment)

Zeitschrift für Urologie und Nephrologie
O S BelorusowW A Gorjainow

Abstract

In 9 patients, at various periods after kidney transplants, arterial stenoses were found, associated with malignant stable hypertension (arterial blood pressure 220 - 260/160 - 180 mm Hg) and a deterioration in the functioning of the transplanted kidney. In order to arrive at a more precise diagnosis the following tests were carried out: isotope renography with I-131 Hippuran, rheovasonephrography, thermography, electrothermometry, selective angiography. Reconstructive operations were carried out on the vessels of 4 patients, after which the arterial blood pressure returned to normal without the use of antihypertensive agents and the functioning of the allotransplant was restored, 5 patients were not operated on: 2 died following disturbances of the cerebral circulation. In 3 patients the functioning of the transplanted kidney was not disturbed and the hypertension could be treated medicinally.

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