Incidence and outcome of transplant renal artery stenosis: single center experience

Transplantation Proceedings
W G PolakM Klinger

Abstract

Since the incidence of transplant renal artery stenosis (TRAS) in renal allografts varies from 1% to 23%, we sought to examine its incidence, to analyze treatment options, and to ascertain its outcomes. Retrospective analysis of 793 kidney allograft recipients transplanted between 1996 and 2004 revealed an incidence of 0.9% (n = 7). Time from kidney transplantation to the first symptoms varied from 1 week to 3 years (median, 4 months). Three patients experiences refractory hypertension and six patients developed allograft dysfunction. Screening color Doppler ultrasonography showed hemodynamic changes in six patients with the definitive diagnosis confirmed by angiography in all patients. One patient with an anastomotic stenosis was treated with a surgical operation and six patients, percutaneous transluminal angioplasty (PTA), with stenting in three cases. Both surgical as well as PTA treatment were successful in all but one patient, who underwent PTA alone, developed chronic renal insufficiency necessitating hemodialysis and finally lost his allograft. In the other patients all symptoms resolved after treatment and the patients are doing well with functioning allografts. Although TRAS was an uncommon complication, if recognized...Continue Reading

References

Oct 1, 1990·Transplant International : Official Journal of the European Society for Organ Transplantation·G BenoitD Fries
Sep 1, 1989·Radiology·J F SniderJ G Letourneau
Jan 15, 1998·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·F C FervenzaJ Petersen
Mar 29, 2002·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·W Charles O'neill, Deborah A Baumgarten
Jun 21, 2003·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Jadranka Buturović-Ponikvar
Dec 25, 2003·Journal of the American Society of Nephrology : JASN·Simona BrunoPiero Ruggenenti

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Citations

Oct 24, 2012·La Radiologia medica·G GuzzardiA Carriero
Sep 26, 2013·AJR. American Journal of Roentgenology·Patrick T NortonKlaus D Hagspiel
Feb 18, 2011·The American Journal of the Medical Sciences·Chien-Wei HuangHsiao-Min Chung
Feb 27, 2016·Transplantation Proceedings·J C L NasseralaE F Daher
Mar 29, 2011·Current Problems in Diagnostic Radiology·Khaled M ElsayesJoel F Platt
Feb 21, 2016·Radiologic Clinics of North America·Courtney Coursey MorenoMatthew T Heller
Oct 23, 2009·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
Jul 15, 2015·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·C BentC Troppmann
Feb 24, 2015·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·D M BiedermanR A Lookstein
Aug 5, 2010·Angiology·Arash SeratnahaeiDebabrata Mukherjee
Dec 20, 2007·Ultrasound Quarterly·Mark E Lockhart, Michelle L Robbin
Dec 6, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Yanqiao RenChuansheng Zheng

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