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Complications of Transplantation. Part 1: Renal Transplants

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Abstract

Vascular complications after solid-organ transplantation are not uncommon and may lead to graft dysfunction and ultimately graft loss. A thorough understanding of the surgical anatomy, etiologies, and types of vascular complications, their presentation, and the options for management are important for managing these complex patients. This article reviews the basic surgical anatomy, vascular complications, and endovascular management options of vascular complications in patients with renal transplants.

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References

  1. Saad WE, Waldman DL (2006) Endovascular repair of vascular lesions in solid organ transplantation. In: Oriel K, Katzen BT, Rosenfield K (eds) Complications in endovascular therapy. Taylor & Francis, New York

    Google Scholar 

  2. Hedegard W, Saad WE, Davies MG (2009) Management of vascular and nonvascular complications after renal transplantation. Tech Vasc Interv Radiol 12:240–262

    Article  PubMed  Google Scholar 

  3. Kobayashi K, Censullo ML, Lucho L et al (2007) Interventional radiologic management of renal transplant dysfunction: Indications, limitations, and technical considerations. Radiographics 27:1109–1130

    Article  PubMed  Google Scholar 

  4. Krol R, Ziaja J, Chudek J et al (2005) Iliac artery stenosis as a cause of posttransplant renovascular hypertension: Report of two cases. Ann Transplant 10:66–69

    PubMed  Google Scholar 

  5. Patel NH, Jindal RM, Wilkin T et al (2001) Renal artery stenosis in renal allografts. Retrospective study of predisposing factors and outcomes after percutaneous transluminal angioplasty. Radiology 219:663–667

    Article  CAS  PubMed  Google Scholar 

  6. Voiculescu A, Hollerbeck M, Plum J et al (2003) Iliac artery stenosis proximal to a kidney transplant: Clinical findings, duplex sonographic criteria, treatment and outcome. Transplantation 76:332–339

    Article  PubMed  Google Scholar 

  7. Weigele JB (1991) Iliac artery stenosis causing renal allograft-mediated hypertension: Angiographic diagnosis and treatment. Am J Roentgenol 157:513–515

    Article  CAS  Google Scholar 

  8. Voiculescu A, Schmitz M, Hollenbeck M et al (2005) Management of arterial stenosis affecting kidney graft perfusion: A single-centre study in 53 patients. Am J Transplant 5:1731–1738

    Article  PubMed  Google Scholar 

  9. Hagen G, Wadstrom J, Magnusson M, Magnusson A (2009) Outcome after percutaneous transluminal angioplasty of arterial stenosis in renal transplant patients. Acta Radiol 50:270–275

    Article  CAS  PubMed  Google Scholar 

  10. Pappas P, Zavos G, Kaza P et al (2008) Angioplasty and stenting of arterial stenosis affecting renal transplant function. Transplant Proc 40:1391–1396

    Article  CAS  PubMed  Google Scholar 

  11. Norgren L, Hiat WR, Dormandy JA et al (2007) Inter-society consensus for the management of peripheral arterial disease (TASC II). J Vasc Surg 45:S5A–S67A

    Article  Google Scholar 

  12. Mwipatayi BP, Thomas S, Wong J et al (2011) A comparison of covered vs bare expandable stents for the treatment of aortoiliac occlusive disease. J Vasc Surg 54:1561–1570

    Article  PubMed  Google Scholar 

  13. Aktas S, Boyvat F, Sevmis S, Moray G, Karakayali H, Haberal M (2011) Analysis of vascular complications after renal transplantation. Transplant Proc 43:557–561

    Article  CAS  PubMed  Google Scholar 

  14. Fervenza FC, Lafayette RA, Alfey EJ et al (1998) Renal artery stenosis in kidney transplantation. Am J Kidney Dis 31:142–148

    Article  CAS  PubMed  Google Scholar 

  15. Mammen NI, Chacko N, Garesh G et al (1993) Aspects of hypertension in renal allograft recipients: a study of 1000 live renal transplants. Br J Urol 71:256–258

    Article  CAS  PubMed  Google Scholar 

  16. Roberts JP, Ascher NL, Fryd DS et al (1989) Transplant renal artery stenosis. Transplantation 48:580–583

    CAS  PubMed  Google Scholar 

  17. Wong W, Fynn SP, Higgins RM et al (1996) Transplant renal artery stenosis in 77 patients: Does it have an immunological course? Transplantation 61:215–219

    Article  CAS  PubMed  Google Scholar 

  18. Lacombe M (1997) Arterial stenosis complicating renal allo-transplantation in man: A study of 38 cases. Ann Surg 181:183

    Google Scholar 

  19. Marini M, Fernandez-Rivera C, Cao I et al (2011) Treatment of transplant renal artery stenosis by percutaneous transluminal angioplasty and/or stenting: study in 63 patients in a single institution. Transplant Proc 43:2205–2207

    Article  CAS  PubMed  Google Scholar 

  20. Bruno S, Remuzzi G, Ruggenemti P (2004) Transplant renal stenosis. J Am Soc Nephrol 15:134

    Article  PubMed  Google Scholar 

  21. Akbar SA, Jafri SZ, Amendola MA et al (2005) Complications of renal transplantation. Radiographics 25:1335–1356

    Article  PubMed  Google Scholar 

  22. Smellie WA, Vinik M, Hume DM (1969) Angiographic investigation of hypertension complicating human renal transplantation. Surg Gynecol Obstet 128:963

    CAS  PubMed  Google Scholar 

  23. Spinosa DJ, Isaacs RB, Matsumoto AH et al (2001) Angiographic evaluation and treatment of transplant renal artery stenosis. Curr Opin Urol 11:197

    Article  CAS  PubMed  Google Scholar 

  24. Audard V, Matignon M, Hemery F et al (2006) Risk Factors and long-term outcomes of transplant renal artery stenosis in adult recipients after treatment by percutaneous transluminal angioplasty. Am J Transplant 6:95–99

    Article  CAS  PubMed  Google Scholar 

  25. Humar A, Ukins M, Papaluis V et al (2000) Is there an association between cytomegalovirus and renal artery stenosis in kidney transplant recipients? Transplantation 69:S386

    Article  Google Scholar 

  26. Becker BN, Odorico JS, Becker YT et al (1999) Peripheral vascular disease and renal transplant artery stenosis: A reappraisal of transplant renovascular disease. Clin Transplant 13:349

    Article  CAS  PubMed  Google Scholar 

  27. Rengel M, Gomes-Da-Silva G, Inchaustegui L et al (1998) Renal artery stenosis after kidney transplantation: Diagnostic and therapeutic approach. Kidney Int 68(Suppl):S99

    Article  CAS  Google Scholar 

  28. Osman Y, Shokeir A, Ali-el-Dein B et al (2003) Vascular complications after live donor renal transplantation: Study of risk factors and effects on graft and patient survival. J Urol 169:859–862

    Article  PubMed  Google Scholar 

  29. Libicher M, Radeleff B, Grenechar L et al (2006) Interventional therapy of vascular complications following renal transplantation. Clin Transplant 20:55–59

    Article  PubMed  Google Scholar 

  30. Gray D (1994) Renal artery stenosis in the transplanted kidney. Transplantation 58:15–21

    Article  Google Scholar 

  31. Lye W, Leong S, Lee E (1996) Transplant renal artery stenosis presenting with recurrent acute pulmonary edema. Nephron 72:302–304

    Article  CAS  PubMed  Google Scholar 

  32. Erley CM, Duda SH, Wakat J-P et al (1992) Noninvasive procedures for diagnosis of renovascular hypertension in renal transplant recipients: a prospective analysis. Transplantation 54:863

    Article  CAS  PubMed  Google Scholar 

  33. Cloudon M, Lefevre F, Hestin D et al (1999) Power doppler imaging: evaluation of vascular complications after renal transplantation. Am J Roentgenol 76:332–339

    Google Scholar 

  34. Gottlieb RH, Lieberman JL, Pabico RC et al (1995) Diagnosis of renal artery stenosis in transplant kidneys: value of doppler waveform analysis of the intrarenal arteries. Am J Roentgenol 165:1441–1446

    Article  CAS  Google Scholar 

  35. Loubeyre P, Abidi H, Cahen R et al (1997) Transplant kidney renal artery: detection of stenosis with color doppler US. Radiology 203:661

    Article  CAS  PubMed  Google Scholar 

  36. Johnson DB, Lerner CA, Prince MR et al (1997) Gadolinium-enhanced magnetic resonance angiography of renal transplants. Magn Reson Imaging 15:13–20

    Article  CAS  PubMed  Google Scholar 

  37. Kelekis NL, Semelka RC, Worawattanakul S et al (1999) Magnetic resonance imaging of the abdominal aorta and iliac vessels using combined 3-D gadolinium-enhanced MRA and gadolinium-enhanced fat-suppressed spoiled gradient echo sequences. Magn Reson Imaging 17:641–651

    Article  CAS  PubMed  Google Scholar 

  38. Neimatallah MA, Dong Q, Schoenberg SO et al (1999) Magnetic resonance imaging in renal transplantation. J Magn Reson Imaging 10:357–368

    Article  CAS  PubMed  Google Scholar 

  39. Vasbinder GBC, Nelemans PJ, Kessels AGH et al (2001) Diagnostic tests for renal artery stenosis in patients suspected of having renovascular hypertension: a meta-analysis. Ann Intern Med 135:401

    Article  CAS  PubMed  Google Scholar 

  40. Thomsen HS (2005) How to avoid CIN: Guidelines from the European Society of Urogenital Radiology. Nephrol Dial Transplant 20(Suppl 1):18

    Article  Google Scholar 

  41. Brown ED, Chen MY, Wolfman NT et al (2000) Complications of renal transplantation: evaluation with US and radionuclide imaging. Radiographics 20:607–622

    Article  CAS  PubMed  Google Scholar 

  42. Liu X, Berg N, Sheehan J et al (2009) Renal transplant: nonenhanced renal MR angiography with magnetization-prepared steady-state free precession. Radiology 251:535–542

    Article  PubMed  Google Scholar 

  43. Norton PT, Hagspiel KH (2012) Vascular MR imaging. Essentials of body MRI. Oxford University Press, New York

    Google Scholar 

  44. Gedroyc WM, Reidy JF, Saxton HM (1987) Arteriography of renal transplantation. Clin Radiol 38:239

    Article  CAS  PubMed  Google Scholar 

  45. Benoit G, Moukarzel M, Hiesse C, Verdelli G, Charpentier B, Fries D (1990) Transplant renal artery stenosis: experience and comparative results between surgery and angioplasty. Transplant Int 3:137–140

    Article  CAS  Google Scholar 

  46. Raynaud A, Bedrossian J, Remy P, Brisset J-M, Angel C-Y, Gaux J-C (1985) Percutaneous transluminal angioplasty of renal transplant arterial stenoses. Am J Roentgenol 146:853–857

    Article  Google Scholar 

  47. Beecroft JR, Rajan DK, Clark TWI, Robinette M, Stravropoulos SW (2004) Transplant renal artery stenosis: outcome after percutaneous intervention. J Vasc Interv Radiol 15:1407–1413

    Article  PubMed  Google Scholar 

  48. Geddes CC, McManus SK, Koteswaran S, Baxter GM (2008) Long-term outcome of transplant renal artery stenosis managed conservatively or by radiological intervention. Clin Transplant 22:572–578

    Article  PubMed  Google Scholar 

  49. Sankari BR, Geisner M, Zelch M, Brouhard B, Cunningham R, Novick AC (1996) Post-transplant renal artery stenosis: Impact of therapy on long-term kidney function and blood pressure control. J Urol 155:1860–1864

    Article  CAS  PubMed  Google Scholar 

  50. Grossman RA, Dafoe DC, Shoenfield RB et al (1982) Percutaneous transluminal angioplasty treatment of renal transplant artery stenosis. Transplantation 34:334–339

    Article  Google Scholar 

  51. Halimi JM, Al-Najjar A, Buchler M et al (1999) Transplant renal artery stenosis: potential role of ischemia/reperfusion injury and long-term outcome following angioplasty. J Urol 161:28–32

    Article  CAS  PubMed  Google Scholar 

  52. Fauchald P, Vatne K, Paulsen D et al (1992) Long-term clinical results of percutaneous transluminal angioplasty in transplant renal artery stenosis. Nephrol Dial Transplant 7:256–259

    CAS  PubMed  Google Scholar 

  53. Greenstein SM, Verstandig A, McLean GK et al (1987) Percutaneous transluminal angioplasty: the procedure of choice in hypertensive renal allograft recipient with renal artery stenosis. Transplantation 43:29–32

    Article  CAS  PubMed  Google Scholar 

  54. Matalon TA, Thompson MJ, Patel SK, Brunner MC, Merkel FK, Jensik SC (1992) Percutaneous transluminal angioplasty for transplant renal artery stenosis. J Vasc Interv Radiol 3:55–58

    Article  CAS  PubMed  Google Scholar 

  55. Peregrin JH, Stribrna J, Lacha J, Skibova J (2008) Long-term follow-up of renal transplant patients with renal artery stenosis treated by percutaneous angioplasty. Eur J Radiol 66:512–518

    Article  PubMed  Google Scholar 

  56. Ghazanfar A, Tavakoli A, Augustine T et al (2011) Management of transplant renal artery stenosis and its impact on long term allograft survival: a single centre experience. Nephrol Dial Transplant 26:336–343

    Article  PubMed  Google Scholar 

  57. Chua GC, Snowden S, Patel U (2004) Kinks of the transplant renal artery without accompanying intraarterial pressure gradient do not require correction: five-year outcome study. Cardiovasc Intervent Radiol 27:643–650

    Article  PubMed  Google Scholar 

  58. Nakir N, Sluites WJ, Ploeg RJ, van Son WJ, Tegress AM (1996) Primary renal graft thrombosis. Nephrol Dial Transplant 11:140–147

    Google Scholar 

  59. Jsmail H, Kalicinski P, Drewniak T et al (1997) Primary vascular thrombosis after renal transplantation in children. Pediatr Transplant 1:43–47

    Google Scholar 

  60. Robertson AJ, Nargund V, Gray DWR, Morris PJ (2002) Low dose aspirin as prophylaxis against renal-vein thrombosis in renal transplant recipients. Nephrol Dial Transplant 15:1865–1868

    Article  Google Scholar 

  61. Groggel CG (1991) Acute thrombosis of the renal transplant artery: a case report and review of the literature. Clin Nephrol 36:42–45

    CAS  PubMed  Google Scholar 

  62. Rouviere O, Berger P, Beziat C et al (2002) Acute thrombosis of renal transplant artery: graft salvage by means of intra-arterial fibrinolysis. Transplantation 73:403–409

    Article  PubMed  Google Scholar 

  63. Rigotti P, Fleschner SM, VanBuren CT, Payne WT, Kahan BD (1986) Increased incidence of renal allograft thrombosis under cyclosporine immunosuppression. Int Surg 71:38

    CAS  PubMed  Google Scholar 

  64. The Canadian Multicenter Transplant Study Group (1983) A randomized clinical trial of cyclosporine in cadaveric renal transplantation. N Engl J Med 309:809

    Article  Google Scholar 

  65. McKenzie N, Deviveni R, Vezina W, Keown P, Stiller C (1985) The effect of cyclosporine on organ blood flow. Transplant Proc 17:1873–1975

    Google Scholar 

  66. Brown Z, Neild GH (1987) Cyclosporine inhibits prostacyclin production by cultured human endothelial cells. Transplant Proc 19:1178–1180

    CAS  PubMed  Google Scholar 

  67. Shabanah FH, Connolly JE, Martin DC (1970) Acute renal artery occlusion. Surg Gynecol Obstet 131:689

    Google Scholar 

  68. Collins GM, Taft P, Greer RD, Ruprecht R, Halasz NA (1977) Aderine nucleotide levels in preserved and ischemically injured canine kidneys. World J Surg 1:237

    Article  CAS  Google Scholar 

  69. Madden JL (1968) Renal artery and suprarenal aortic occlusion. Arch Surg 97:853

    Article  CAS  PubMed  Google Scholar 

  70. Zajko AB, McLean GK, Grossman RA et al (1982) Percutaneous transluminal angioplasty and fibrinolytic therapy for renal allograft arterial stenosis and thrombosis. Transplantation 33:447

    Article  CAS  PubMed  Google Scholar 

  71. Gerard DF, Devin JB, Halsz NA, Collins GM (1982) Transplant renal artery thrombosis. Arch Surg 117:361

    Article  CAS  PubMed  Google Scholar 

  72. Lee HM, Mendez-Picon G, Pierce JC, Hume DM (1977) Renal artery occlusion in transplant recipients. Am Surg 43:186

    CAS  PubMed  Google Scholar 

  73. Melzer JS, Gregorio AS, Etheredge EE, Anderson CB (1982) Successful re-vascularization of early posttransplant renal artery occlusion. Surgery 91:168

    CAS  PubMed  Google Scholar 

  74. Okiye SE, Zincke H (1983) Renal allograft salvage after prolonged early post-transplant renal artery occlusion. J Urol 129:1216

    CAS  PubMed  Google Scholar 

  75. Nicholson JD, Burleson RL, Bredenberg CE (1978) Survival of a renal allograft after correction of an early total acute renal artery occlusion. Transplantation 26:131

    Article  CAS  PubMed  Google Scholar 

  76. Swanson DA, Sullivan MJ (1976) Thrombo-endarterectomy for anuria 4 and a half years post-renal transplant: A case report. J Urol 116:799

    CAS  PubMed  Google Scholar 

  77. Renders L, Georig M, Schrieber M, Kasprzak P, Houser I (1997) Successful surgical revascularization of a kidney transplant after PTA-induced arterial dissection of the allograft renal artery. Nephrol Dial Transplant 12:1264

    Article  CAS  PubMed  Google Scholar 

  78. Takadashi M, Humke U, Girndt M, Kramann B, Uder M (2003) Early post-transplantation renal allograft perfusion failure due to dissection: diagnosis and interventional treatment. Am J Roentgenol 180:759–763

    Article  Google Scholar 

  79. Giustacchini O, Pisanti F, Citterio F, DeGaetano AM, Castagneto M, Nanni G (2002) Renal vein thrombosis after renal transplantation: an important cause of graft loss. Transplant Proc 34:2126–2127

    Article  CAS  PubMed  Google Scholar 

  80. Samara ENS, Voss BL, Pederson JA (1988) Renal artery thrombosis associated with increased cyclosporine levels: a case report and review of the literature. Transplant Proc 20:119

    CAS  PubMed  Google Scholar 

  81. Maleux G, Messiaen T, Stockx L, Vanrenterghem Y, Wilms G (2003) Trans-catheter embolization of biopsy-related vascular injuries in renal allografts: long-term technical, clinical and biochemical results. Acta Radiol 44:13–17

    CAS  PubMed  Google Scholar 

  82. Phadke RN, Sawlani V, Rastogi H et al (1997) Iatrogenic renal vascular injuries and their radiological management. Clin Radiol 52:119

    Article  CAS  PubMed  Google Scholar 

  83. Peregrin JH, Lacha J, Adamec M (1999) Successful handling by stent implantation of postoperative renal graft artery stenosis and dissection. Nephrol Dial Transplant 14:1004–1006

    Article  CAS  PubMed  Google Scholar 

  84. Saad WEA (2007) Management of hepatic artery steno-occlusive complications after liver transplantation. Tech Vasc Interv Radiol 10:207–220

    Article  PubMed  Google Scholar 

  85. Saad WEA, Davies MG, Sahler LG et al (2005) Hepatic artery stenosis in liver transplant recipients: Primary treatment with percutaneous transluminal angioplasty. J Vasc Interv Radiol 16:795–805

    Article  PubMed  Google Scholar 

  86. Saad NEA, Saad WEA, Davies MG, Waldman DL, Fultz PJ, Rubens DJ (2005) Pseudoaneurysms and the role of minimally invasive techniques in their management. Radiographics 25:S173–S189

    Article  PubMed  Google Scholar 

  87. Grenier N, Claudon M, Trillaud H et al (1997) Non-invasive radiology of vascular complications in renal transplantation. Eur Radiol 52:119

    Google Scholar 

  88. Orons PD, Zajko AB (1995) Angiography and interventional aspects of renal transplantation. Radiol Clin North Am 33:461

    CAS  PubMed  Google Scholar 

  89. Martinez T, Palomaces M, Bravo JA et al (1998) Biopsy-induced arteriovenous fistula and venous aneurysm in a renal transplant. Nephrol Dial Transplant 13:2937

    Article  CAS  PubMed  Google Scholar 

  90. Perini S, Gordon RL, LaBerge JM et al (1998) Trans-catheter embolization of biopsy-related vascular injury in the transplant kidney: Immediate and long-term outcome. J Vasc Interv Radiol 9:1011–1019

    Article  CAS  PubMed  Google Scholar 

  91. deSouza NM, Reidy JF, Koffman CG (1991) Arteriovenous fistulas complicating biopsy of renal allografts: Treatment of bleeding with superselective embolization. Am J Roentgenol 156:507–510

    Article  CAS  Google Scholar 

  92. Dorffner R, Thurnher S, Prokesch R et al (1998) Embolization of iatrogenic vascular injuries of renal transplants: Immediate and follow-up results. Cardiovasc Intervent Radiol 21:129–134

    Article  CAS  PubMed  Google Scholar 

  93. Saad WEA (2007) Management of non-occlusive hepatic artery complications after liver transplantation. Tech Vasc Interv Radiol 10:221–232

    Article  PubMed  Google Scholar 

  94. Saad WEA, Davies MG, Rubens DJ et al (2006) Endoluminal management of arterio-portal fistulae in liver transplant recipients: a single center experience. Vasc Endovasc Surg 40:451–459

    Article  Google Scholar 

  95. Bedani PL, Galeotti R, Mugnani G et al (1999) Successful local arterial Urokinase infusion to reverse late postoperative venous thrombosis of renal graft. Nephrol Dial Transplant 14:2225–2227

    Article  CAS  PubMed  Google Scholar 

  96. Karaesa FB, Audikouk K, Pappas P, Nakopoulou L, Kostakis A, Boletis JN (1999) Late renal transplant arterial thrombosis in a patient with systemic lupus erythromatosis and antiphospholipid syndrome. Nephrol Dial Transplant 14:472–474

    Article  Google Scholar 

  97. Ramirez PJ, Gohh RY, Kestin A, Monaco AP, Morrisey PE (2002) Renal allograft loss due to proximal extension of iliofemoral deep venous thrombosis. Clin Transplant 16:310–313

    Article  CAS  PubMed  Google Scholar 

  98. Merion RM, Calne RY (1985) Allograft renal vein thrombosis. Transplant Proc 17:1746–1750

    CAS  PubMed  Google Scholar 

  99. Herrera RO, Benitez AM, Abad MJH (2000) Renal vein partial thrombosis in three recipients of kidney transplantation. Arch Esp Urol 53:45–48

    Google Scholar 

  100. deBuf-Vereijken PWG, Hillbrands LB, Wetzels JFM (1998) Partial renal vein thrombosis in a kidney transplant: management by streptokinase and heparin. Nephrol Dial Transplant 13:499–502

    Article  Google Scholar 

  101. Chiu AS, Landsberg DN (1991) Successful treatment of acute transplant renal vein thrombosis withy selective streptokinase infusion. Transplant Proc 23:2297–2300

    CAS  PubMed  Google Scholar 

  102. Robinson JM, Cockrell CH, Tisnado J, Beachley MC, Posner MP, Tracy TF (1986) Selective low-dose streptokinase infusion in the treatment of acute transplant renal vein thrombosis. Cardiovasc Intervent Radiol 9:86–89

    Article  CAS  PubMed  Google Scholar 

  103. Schwiger J, Reiss R, Cohen JL, Adler L, Makolt D (1993) Acute renal allograft dysfunction in the setting of deep venous thrombosis: A case of successful urokinase thrombolysis and a review of the literature. Am J Kidney Dis 22:345–350

    Article  Google Scholar 

  104. Killewich LA, Pais SO, Sandager G, Flinn WR, Bartlett ST (1995) Salvage of renal allograft function and lower extremity venous patency with thrombolytic therapy: case report and review of the literature. J Vasc Surg 21:691–696

    Article  CAS  PubMed  Google Scholar 

  105. Modrall JG, Teitelbaum GP, Diaz Lunn H, Berne T (1993) Local thrombolysis in a renal allograft treated by renal vein thrombosis. Transplantation 65:1013–1101

    Google Scholar 

  106. Tamin W, Arous E (1999) Thrombolytic therapy: the treatment of choice for iliac vein thrombosis in the presence of kidney transplant. Ann Vasc Surg 13:436–438

    Article  Google Scholar 

  107. Mark MJ, Pais SO, Bartlett ST (1995) Successful restoration of renal allograft function of urokinase thrombolysis in the setting of phlegmasia cesurae dolens. J Vasc Interv Radiol 6:279–282

    Article  Google Scholar 

  108. Fava M, Loyola S, Flores P, Del Campro F (1997) External iliac vein thrombosis after renal transplantation: Treatment by thrombolysis and stent placement: a case report. Transplantation 64:928–930

    Article  CAS  PubMed  Google Scholar 

  109. Stella N, Rolli A, Catalano A, Udini M (2001) Simultaneous urokinase perfusion in renal artery and vein in a case of renal vein thrombosis. Minerva Cardioangiol 49:273–278

    CAS  PubMed  Google Scholar 

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Conflict of interest

Alan H. Matsumoto is on the Data Safety Monitoring Board for Trivascular, Bolton Medical, Boston Scientific, and Medicines Company; has institutional grants from W. L. Gore, Medtronic, Cook Medical, and InSightec; has personal stock or stock options of Crux Medical; and other travel, accommodation, and meeting expenses from Siemens Medical. Wael E. Saad is a compensated speaker for Atrium, a grant recipient from Siemens Medical, a consultant for Siemens Medical and Boston Scientific Corp., and an expert panelist for Merit Medical. None of these affiliations are relevant to this manuscript.

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  1. Department of Radiology, Cardiovascular Center, University of Michigan Medical Center, Ann Arbor, MI, 48109, USA

    Wael E. Saad

  2. Department of Radiology and Medical Imaging, University of Virginia Health System, 1215 Lee St, 800170, Charlottesville, VA, 22908, USA

    Minhaj S. Khaja & Alan H. Matsumoto

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  1. Minhaj S. Khaja
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Correspondence to Minhaj S. Khaja.

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Khaja, M.S., Matsumoto, A.H. & Saad, W.E. Complications of Transplantation. Part 1: Renal Transplants. Cardiovasc Intervent Radiol 37, 1137–1148 (2014). https://doi.org/10.1007/s00270-014-0851-z

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