Abstract
Stenosis of the transplant renal artery was discovered in 113 of 971 (11.6%) renal transplantation patients between three months and five years after transplantation. Diagnosis was reached by angiography performed because of hypertension, with or without impaired renal function. The stenosis was repaired in 63 patients with cure or improvement of hypertension in 35, and improvement of renal function in 12 of 23 patients with impaired renal function. The different types of stenosis were: recipient renal artery stenosis, suture line stenosis, donor artery stenosis (the most common), and multiple stenoses. The causes implicated were: recipient atheroma, faulty suture technique, hemodynamic disorders, trauma, and immunologic mechanisms. As the incidence of this complication is underestimated, routine angiography in all transplant recipients is suggested.
Similar content being viewed by others
References
MORRIS PJ, YADAV RVS, KINCAID-SMITH P. Renal artery stenosis in renal transplantation.Med J Aust 1971;1:1255–1257.
KINCAID-SMITH P, HARE WSC, MORRIS PJ, MARSHALL VC. Renal artery stenosis due to the vascular lesions of rejection in cadaveric allografts.Proc Europ Dial Transplant Assn 1969;6:235–239.
PORTER KA, THOMSON WB, OWEN K. Obliterative vascular changes in four human kidney homotransplants.Brit Med J 1963;2:639–645.
O’CONNEL TX, MOWBRAY JF. Arterial intimai thickening produced by alloantibody and xenoantibody.Transplantation 1973;75:262–263.
KINCAID-SMITH P. The pathogenesis of the vascular and glomerular lesions of rejection in renal allografts and their modification by antithrombotic and anticoagulant drugs.Aust Ann Med 1970;19:201–214.
SIMMONS RL, TALLENT MB, KJELLSTRAND CM, NAJARIAN JS. Renal allograft rejection simulated by arterial stenosis.Surgery 1970;68:800–804.
REINITZ ER, GOLDMAN MH, SAIS J et al. Evaluation of transplant renal artery blood flow by Doppler ultrasound-spectum analysis.Arch Surg 1983;118:415–419.
KAUFFMAN HM, SAMPSON D, FOX RS et al. Prevention of transplant renal artery stenosis.Surgery 1977;81:161–167.
Author information
Authors and Affiliations
About this article
Cite this article
Lacombe, M. Renal artery stenosis after renal transplantation. Annals of Vascular Surgery 2, 155–160 (1988). https://doi.org/10.1007/BF03187568
Issue Date:
DOI: https://doi.org/10.1007/BF03187568