Aortoiliac Occlusive Disease as a Cause of Allograft Kidney Dysfunction and Refractory Hypertension / 고신대학교의과대학학술지
Kosin Medical Journal
;
: 168-172, 2019.
Article
Dans Anglais
| WPRIM
| ID: wpr-786384
ABSTRACT
Aortoiliac occlusive disease (AIOD), especially proximal to the transplant artery, in kidney transplant patient activates the renin-angiotensin-aldosterone system by limiting graft renal perfusion and causes symptoms that can occur with transplant renal artery stenosis (TRAS) such as refractory hypertension, water retention, and graft renal dysfunction. Immediate clinical suspicion is difficult due to the nature of the progressive disease unlike TRAS. Herein, we present an interesting case of bilateral common iliac artery occlusion (AIOD, TASC II, type C) that manifested as uncontrolled blood pressure and decreased allograft function in a patient who had kidney transplant 17 years ago. The patient was successfully diagnosed with duplex scan, ankle-brachial index (ABI) and computed tomography angiography and treated with percutaneous luminal angioplasty and stent graft insertion.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Perfusion
/
Phénobarbital
/
Artères
/
Occlusion artérielle rénale
/
Système rénine-angiotensine
/
Pression sanguine
/
Prothèse vasculaire
/
Eau
/
Angiographie
/
Transplantation rénale
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Kosin Medical Journal
Année:
2019
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS