ANGIOPLASTY AND STENTING OF THE TRANSPLANTED RENAL ARTERY STENOSIS: A SINGLE-CENTER EXPERIENCE

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POURMAND G.; SOLEIMANI A.; MEHRSAI A.R.; GOORAN S.H.; DEHGHANI ATHAR R.; DEHGHANI S.

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Journal: International Journal of Organ Transplantation Medicine Year:2015 | Volume:6 | Issue:3 Page(s): 136-136

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Title

ANGIOPLASTY AND STENTING OF THE TRANSPLANTED RENAL ARTERY STENOSIS: A SINGLE-CENTER EXPERIENCE

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Abstract

Background: Transplanted renal artery stenosis (TRAS) is a well-known potentially curable cause of post-transplantation arterial hypertension, allograft dysfunction, and graft loss. Percutaneous transluminal angioplasty and stenting are relatively less invasive approaches for the treatment of post-transplantation TRAS.Methods: From March 2014 to March 2015, 154 patients underwent kidney transplantation (113 deceased and 41 live donors).4 patients (2 men and 2 women) who had advanced diabetes, vascular access problem, re-transplantation and obesity, developed renal and iliac artery stenosis and stent placement was performed. In these patients, blood pressure, body weight, urine output and Doppler ultrasound parameters were regularly evaluated pre-operatively and daily for one month after angioplasty. Angioplasty was conducted for 2 patients on the second post-operative day; the other 2 patients underwent the procedure 10 days after their transplantations.Results: The mean age of the 4 patients (2 deceased and 2 live donors) was 42 (range: 13–63) years. Serum creatinine decreased after angioplasty in 3 patients below 1.8 mg/dL at discharge. One patient needed dialysis after angioplasty (the serum creatinine decreased to 1.2 mg/dL after three weeks). No patient returned for dialysis after the discharge.Conclusion: Percutaneous transluminal angioplasty and stenting are safe and effective procedures to relieve renal artery and/or iliac stenosis. High risk patients with complications such as advanced diabetes, difficult vascular access and re-transplantation should undergo the procedure in high-tech centers equipped with Cath. Lab. and well-experienced endovascular interventionists to prevent graft loss.

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APA: Copy

POURMAND, G., SOLEIMANI, A., MEHRSAI, A.R., GOORAN, S.H., DEHGHANI ATHAR, R., & DEHGHANI, S.. (2015). ANGIOPLASTY AND STENTING OF THE TRANSPLANTED RENAL ARTERY STENOSIS: A SINGLE-CENTER EXPERIENCE. INTERNATIONAL JOURNAL OF ORGAN TRANSPLANTATION MEDICINE, 6(3), 136-136. SID. https://sid.ir/paper/327533/en

Vancouver: Copy

POURMAND G., SOLEIMANI A., MEHRSAI A.R., GOORAN S.H., DEHGHANI ATHAR R., DEHGHANI S.. ANGIOPLASTY AND STENTING OF THE TRANSPLANTED RENAL ARTERY STENOSIS: A SINGLE-CENTER EXPERIENCE. INTERNATIONAL JOURNAL OF ORGAN TRANSPLANTATION MEDICINE[Internet]. 2015;6(3):136-136. Available from: https://sid.ir/paper/327533/en

IEEE: Copy

G. POURMAND, A. SOLEIMANI, A.R. MEHRSAI, S.H. GOORAN, R. DEHGHANI ATHAR, and S. DEHGHANI, “ANGIOPLASTY AND STENTING OF THE TRANSPLANTED RENAL ARTERY STENOSIS: A SINGLE-CENTER EXPERIENCE,” INTERNATIONAL JOURNAL OF ORGAN TRANSPLANTATION MEDICINE, vol. 6, no. 3, pp. 136–136, 2015, [Online]. Available: https://sid.ir/paper/327533/en

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