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Renal transplantation offers the most effective longterm renal replacement therapy for paediatric patients with end-stage renal disease. It is associated with better survival rates and quality of life than dialysis. Given the technically demanding surgery with small-sized vessels, paediatric patients are particularly susceptible to vascular complications. They are an important cause of morbidity after paediatric renal transplantation affecting 5% to 10% of patients.1 Imaging plays an important role in diagnosing these complications to facilitate timely management. In this article, we will review the imaging findings of paediatric renal transplant-related vascular complications. The vascular complications can be stratified into immediate (within a week), early (between a week to a month), or late (>1 month) [Table].

Pictorial Review of Paediatric Renal Transplant Vascular Complications