Percutaneous transluminal interventions of transplant renal artery stenosis: A case series study

Amjad Ghareeb; Naji Alhamid; Qussai Hassan; Mohammed Ali Nahas

doi:10.1016/j.amsu.2022.103563

Percutaneous transluminal interventions of transplant renal artery stenosis: A case series study

Ann Med Surg (Lond). 2022 Apr 5:77:103563. doi: 10.1016/j.amsu.2022.103563. eCollection 2022 May.

Authors

Amjad Ghareeb¹, Naji Alhamid², Qussai Hassan³, Mohammed Ali Nahas⁴

Affiliations

¹ Faculty of Medicine, Damascus University, Damascus, Syria.
² Nephrology Department, Kidney Surgical Hospital in Damascus, Syria.
³ Chief of Nephrology Department and Kidney Transplant Unit, Al Assad University Hospital, Damascus University, Damascus, Syria.
⁴ Chief of Vascular and Endovascular Surgery Department, Al Assad University Hospital, Damascus University, Damascus, Syria.

Abstract

Introduction: and importance: Transplant renal artery stenosis (TRAS) is a well-recognized vascular complication after kidney transplant that can lead to graft loss, when it is diagnosed early and treated appropriately it may prevent kidney damage and related systemic squeals.

Case presentation: This case-series represents our center experience in managing TRAS using percutaneous transluminal angioplasty [either balloon angioplasty (PTA) or stent placement (PTAS)] in 11 patients.

Clinical discussion: All treated patients experienced immediate total recovery of renal function and normalization of arterial blood pressure without any drug or reducing the number of drugs used; no complications related to the intervention were reported.

Conclusion: PTA or PTAS of TRAS can be considered safe and effective when it diagnosed and treated early.

Keywords: Balloon angioplasty; Endovascular intervention; Percutaneous transluminal angioplasty; Renal graft transplantation; Stent angioplasty; Transplant renal artery stenosis.