1. Homotransplant renal artery stenosis.
- Author
-
Doyle TJ, McGregor WR, Fox PS, Maddison FE, Rodgers RE, and Kauffman HM
- Subjects
- Angiography, Benzothiadiazines therapeutic use, Child, Guanethidine therapeutic use, Humans, Hydralazine therapeutic use, Hypertension, Renal drug therapy, Methyldopa therapeutic use, Phenoxybenzamine therapeutic use, Propranolol therapeutic use, Recurrence, Renal Artery pathology, Renal Artery Obstruction diagnostic imaging, Renal Artery Obstruction surgery, Reserpine therapeutic use, Transplantation, Homologous, Veins transplantation, Hypertension, Renal etiology, Kidney Transplantation, Renal Artery Obstruction etiology
- Abstract
Transplant renal artery stenosis occurred in 12 of 101 consecutive kidney transplants. Stenoses were all located in the renal artery distal to the anastomosis. Two separate forms of stenosis are recognized: angulation and segmental. All transplant patients with severe diastolic hypertension, refractory to medical management, and an audible abdominal bruit should undergo angiography. Surgical correction of the stenosis was accomplished in nine of 12 patients with cure of their hypertension.
- Published
- 1975