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Chirurgia 2011 December;24(6):333-5

language: English

Primary endovascular stenting for transplant renal artery stenosis: a case report

Toufeeq Khan T. F. 1, Anzar Baig M. 1, Al Jared M. S. 2

1 Department of Kidney Transplant Surgery, Riyadh Military Hospital. Riyadh, Saudi Arabia
2 Department of Interventional Radiology, Riyadh Military Hospital. Riyadh, Saudi Arabia


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Our patient developed transplant renal artery stenosis (TRAS) one month following an episode of acute cellular rejection (ACR), and presented with refractory hypertension and significant graft dysfunction. A Doppler study documented a reduction in the resistive indices and a tardus parvus flow pattern, both findings very suggestive of TRAS, which was then confirmed by digital substraction angiography. Following the first balloon angioplasty, a stent was placed across the stenosis with rapid improvement in function. We report a case of TRAS treated with primary endovascular stenting (PES) following percutaneous transluminal balloon angioplasty (PTBA) and discuss it in the light of current treatment options.

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