ABSTRACT
Stenosis of the artery of a transplanted kidney is a grave complication of the posttransplanation period. Two method are applied for correction of the disease: reconstructive operation and radiologically-guided endovascular dilatation (RED). The primary method of choice is RED of the stenosis. We applied it in 20 patients. The result of the operation in the early postdilatation period was good in 15 (75%) patients, satisfactory in 2 (10%) patients. In 3 cases the method of RED of the stenosis failed because of technical complications. Restenosis occurred in 8 (47%) patients in the late-term periods after correction. Attempts to repeat RED were successful in 5 patients.
Subject(s)
Catheterization/methods , Graft Occlusion, Vascular/therapy , Kidney Transplantation , Renal Artery Obstruction/therapy , Therapy, Computer-Assisted , Adolescent , Adult , Graft Occlusion, Vascular/diagnostic imaging , Graft Occlusion, Vascular/etiology , Humans , Middle Aged , Radiography , Recurrence , Renal Artery Obstruction/diagnostic imaging , Renal Artery Obstruction/etiology , Treatment OutcomeABSTRACT
Stenosis of the artery of a transplanted kidney, which developed in late-term periods after allogeneic kidney transplantation, was revealed in 30 patients, which accounts for 6% of the total number of patients who underwent transplantation. The authors discuss the etiology of this complication in detail and suggest their own classification.
