Open AccessRenal transplant arterial stenosis: percutaneous transluminal angioplasty
Author(s) -
Gerlock Aj,
MacDonell Rc,
Smith Cw,
CA Muhletaler,
Parris Wc,
Johnson Hk,
Tallent Mb,
Richie Re,
RI Kendall
Publication year - 1983
Publication title -
american journal of roentgenology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.294
H-Index - 196
eISSN - 1546-3141
pISSN - 0361-803X
DOI - 10.2214/ajr.140.2.325
Subject(s) - medicine , percutaneous , stenosis , angioplasty , cardiology , renal transplant , renal artery stenosis , radiology , renal artery , kidney
Seven hypertensive patients underwent percutaneous transluminal angioplasty for relief of arterial stenosis complicating renal allotransplantation. Five had end-to-side anastomosis of the donor renal artery to the recipient external iliac artery, and two had end-to-end anastomosis of the donor renal artery to the recipient internal iliac artery. Each patient had developed hypertension (blood pressure greater than 145/95 mm Hg), elevated peripheral venous plasma renin, and six demonstrated decrease in renal function as detected by an increase in serum creatinine at least 2 months after transplantation and without evidence of rejection. Angioplasty was technically successful without significant complications and blood pressure and biochemical abnormalities were improved or stabilized in all seven patients.