Kidney transplantation improves arterial stiffness in patients with end-stage renal disease

  • Sujuan Feng
  • Haozhou Wang
  • Jing Yang
  • Xiaopeng Hu
  • Wei Wang
  • Hang Liu
  • Han LiEmail author
  • Xiaodong ZhangEmail author
Urology - Original Paper



Cardiovascular disease (CVD) is the leading cause of mortality among the patients with end-stage renal disease (ESRD). Arterial stiffness is a well-accepted predictor of cardiovascular mortality in general population and ESRD patients. The aim of this study was to compare the change of arterial stiffness in kidney transplant recipients (KTRs) and ESRD patients, and further investigate the impact of kidney transplantation (KT) on arterial stiffness.


A total of 138 maintenance hemodialysis patients, 198 KTRs and 75 healthy volunteers were enrolled in this study. The carotid-femoral pulse wave velocity (CF-PWV) and carotid-radial PWV (CR-PWV) were determined, and the correlations of PWV with biochemical parameters were analyzed.


CF-PWV was highest in the maintenance hemodialysis patients, but similar between KTRs and healthy volunteers. Bivariate correlation analysis among KTRs demonstrated that CF-PWV was positively correlated with high level of peripheral diastolic blood pressure, pulse pressure, mean artery pressure, BUN and HDL, but negatively correlated with albumin. Univariate polytomous logistic regression analysis showed that age, BMI, systolic blood pressure, pulse pressure, length of KT and BUN were associated with the increase of CF-PWV value.


Aortic stiffness could be improved after KT. Meanwhile, age, BMI, systolic blood pressure, pulse pressure, length of KT and BUN were independent predictors of the increase of CF-PWV in KTRs.


Aortic stiffness Cardiovascular disease Kidney transplantation Pulse wave velocity 



Cardiovascular diseases


End-stage renal disease


Kidney transplantation


Carotid-femoral pulse wave velocity


Carotid-radial pulse wave velocity



This work was supported by Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support (ZYLX201408).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethics approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

Consent to participate

There is no organ were obtained from prisoners and the kidney always were obtained from emergency department and neurology department of Beijing Chao-Yang Hospital, Capital Medical University.


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© Springer Nature B.V. 2020

Authors and Affiliations

  1. 1.Department of Blood Purification, Institute of Uro-Nephrology, Beijing Chao-Yang HospitalCapital Medical UniversityBeijingChina

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