Percutaneous Transluminal Dilatation of Graft Renal Artery as Treatment for Posttransplantation Hypertension

Vittorio Bonomini, MD, Institute of Nephrology, S. Orsola University Hospital, I-40138 Bologna (Italy) Dear Sir, benefited twice from percutaneous transluminal dilatation (PTD) of the graft renal artery. Posttransplant renal artery stenosis is a frequent cause A 40-year-old man, whose blood pressure (BP) had of hypertension [1] and may sometimes mimic a rejection been controlled with 0.150 mg of clonidine daily during of the graft by reducing renal blood flow [2]. We present a dialysis treatment, exhibited a severe hypertensive crisis case of a patient who, under these circumstances, has (standing BP 180/110 mm Hg) and an increase in serum Fig. 1. Arteriograms before (a) and after (b) the first PTD. Arteriograms before (c) and after (d) the second PTD. Repetition of Angioplasty in Graft Arterial Stenosis 121