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Iliac artery stenosis masquerading as diuretic resistant congestive heart failure
Author(s) -
Koushik Rahul S.,
Matas Arthur J.,
Rosenberg Mark E.
Publication year - 2000
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1034/j.1399-0012.2000.140103.x
Subject(s) - medicine , diuretic , stenosis , renovascular hypertension , cardiology , claudication , stent , renal artery stenosis , heart failure , renal artery , artery , renal artery obstruction , creatinine , surgery , kidney , vascular disease , arterial disease
Iliac artery stenosis is a rare cause of renal dysfunction in renal allograft recipients. Its presence can mimic renovascular hypertension and yet alter the very radiologic tests used to diagnose renal artery stenosis. We investigate a case of iliac artery stenosis that presented with diuretic resistant fluid overload, hypertension and limb claudication that exposed the pitfalls in the diagnosis and management of this condition. Successful stent placement, 8 months after transplant, resulted in return of the serum creatinine below the post‐transplant nadir.