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Published on: April 28, 2013
Percutaneous transluminal dilatation of transplant renal artery stenosis
Insights
Percutaneous transluminal angioplasty effectively treated transplant renal artery stenosis in three patients. This minimally invasive procedure improved hypertension and graft function in challenging cases.
Area of Science:
- Nephrology
- Interventional Cardiology
- Transplant Surgery
Background:
- Transplant renal artery stenosis (TRAS) is a significant complication after kidney transplantation.
- Severe hypertension and graft dysfunction are common consequences of TRAS.
- Limited effective treatment options exist for complex TRAS cases.
Observation:
- Three patients with TRAS were treated with percutaneous transluminal angioplasty (PTA).
- Two patients presented with severe, medically resistant hypertension.
- One patient experienced early post-transplant graft dysfunction due to TRAS.
Findings:
- PTA was successfully applied in all three cases of TRAS.
- Significant improvement in hypertension was observed in patients with resistant hypertension.
- Graft function was restored in the patient with early post-transplant dysfunction.
Implications:
- PTA is a valuable and effective treatment for transplant renal artery stenosis.
- This technique offers a viable solution for managing difficult TRAS complications.
- Further studies should explore long-term outcomes and patient selection for PTA in TRAS.
Abstract:
Percutaneous transluminal angioplasty has been applied to the treatment of transplant renal artery stenosis in 3 patients, 2 with severe hypertension resistant to medical therapy, and one with graft dysfunction related to the presence of the stenosis in the early post-transplant period. The clinical courses of the patients before and after angioplasty are illustrated and the usefulness of the technique in this difficult situation stressed.
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Kidney Transplant I: Introduction
Kidney Transplant II: Surgical Procedure
Imaging Studies VII: Vascular Imaging

