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A Journal on Surgery

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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


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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