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Intravascular ultrasound-supported percutaneous angioplasty of post-kidney transplant renal artery bifurcation stenosis.
- Source :
- Vascular; Feb2022, Vol. 30 Issue 1, p167-170, 4p
- Publication Year :
- 2022
-
Abstract
- Background: Transplant renal artery stenosis (TRAS) is an uncommon complication following renal transplantation. Its usual clinical presentation includes worsening hypertension and/or renal function, without any evidence of graft rejection. Bifurcation renal artery stenosis of the transplanted renal artery is rarely encountered. Methods: Percutaneous transluminal renal angioplasty (PTRA) with or without stenting is the procedure of choice to treat TRAS. We hereby describe a patient, who presented with impaired renal functions, four months following the renal transplantation. He underwent intravascular ultrasound-guided PTRA of the bifurcation lesion of TRAS. Results and conclusion: Superior renal artery had coronary drug-eluting stent implantation, while inferior renal artery and side branch of the superior renal artery had balloon angioplasty, alone. Post-intervention, the raised serum creatinine level decreased from 2.9 mg% to 1.7 mg%. The index case described the successful PTRA and stenting of the bifurcation lesion of TRAS, the technical results of which was optimized with the use of intravascular ultrasound. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 17085381
- Volume :
- 30
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Vascular
- Publication Type :
- Academic Journal
- Accession number :
- 155376004
- Full Text :
- https://doi.org/10.1177/17085381211001176