Open AccessSuccessful endovascular treatment of transplant intrarenal artery stenosis in renal transplant recipients: Two case reports
Author(s) -
Maria Koukoulaki,
Elias Brountzos,
Ioannis Loukopoulos,
Maria Pomoni,
Eleni Antypa,
Vasileios Vougas,
S. Drakopoulos
Publication year - 2015
Publication title -
world journal of transplantation
Language(s) - English
Resource type - Journals
ISSN - 2220-3230
DOI - 10.5500/wjt.v5.i2.68
Subject(s) - medicine , angioplasty , anastomosis , stenosis , surgery , transplantation , percutaneous , renal artery stenosis , renal artery , creatinine , stent , balloon , complication , kidney transplantation , cardiology , kidney
Transplant renal artery stenosis (TRAS) is a relatively rare complication after renal transplantation. The site of the surgical anastomosis is most commonly involved, but sites both proximal and distal to the anastomosis may occur, as well. Angioplasty is the gold standard for the treatment of the stenosis, especially for intrarenal lesions. We report two cases of intrarenal TRAS and successful management with angioplasty without stent placement. Both patients were male, 44 and 55 years old respectively, and they presented with elevated blood pressure or serum creatinine within three months after transplantation. Subsequently, they have undergone angioplasty balloon dilatation with normalization of blood pressure and serum creatinine returning to baseline level. Percutaneous transluminal balloon renal angioplasty is a safe and effective method for the treatment of the intrarenal TRAS.