Renal artery stenos is in renal transplantation presentation and management
Joint Authors
Linjawi, Tariq
Chaudry, Tariq
al-Furayyih, Usamah
al-Suhaybani, Hammad
al-Mashari, Khalid
Minhas, M.
al-Shaybani, Khalid
Abu Talib, Nasr Allah
al-Harbi, Ali
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 9, Issue 1 (28 Feb. 1998), pp.22-26, 5 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
1998-02-28
Country of Publication
Saudi Arabia
No. of Pages
5
Main Subjects
Topics
Abstract EN
A review of the angioplasty records between 1990 and 1995 at the King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia revealed ten cases of transplant renal artery stenosis (RAS).
The diagnosis in these cases was confirmed by renal angiography and all were treated by angioplasty.
All study patients presented with uncontrolled hypertension in spite of multiple medications; eight had renal functional impairment and two patients had recurrent unexplained pulmonary edema in addition.
Six patients had undergone end-to-end anastomosis, while four had end-to-side anastomosis of the artery during transplantation.
Four had cadaveric renal transplants and six had living donor renal transplants.
Eight of these patients responded well to angioplasty with marked improvement in their renal function and reduction in the number of anti-hypertensive medications.
In one patient, it was not possible to pass the catheter through the stenosis and the patient underwent surgical reconstruction, while in another patient there were multiple stenotic lesions involving the external iliac and the transplant renal arteries suggesting atherosclerotic changes.
We conclude that renal artery stenosis should be suspected in patients after renal transplant if they have uncontrolled or worsening hypertension, unexplained renal impairment or presentation with unexplained recurrent pulmonary edema.
Renal angiography should be considered as part of the investigation of hypertension in renal transplant patients, and if the RAS is confirmed, angioplasty should be the procedure of choice.
American Psychological Association (APA)
al-Harbi, Ali& Chaudry, Tariq& al-Furayyih, Usamah& al-Suhaybani, Hammad& al-Shaybani, Khalid& al-Mashari, Khalid…[et al.]. 1998. Renal artery stenos is in renal transplantation presentation and management. Saudi Journal of Kidney Diseases and Transplantation،Vol. 9, no. 1, pp.22-26.
https://search.emarefa.net/detail/BIM-162980
Modern Language Association (MLA)
al-Harbi, Ali…[et al.]. Renal artery stenos is in renal transplantation presentation and management. Saudi Journal of Kidney Diseases and Transplantation Vol. 9, no.1 (December 1998), pp.22-26.
https://search.emarefa.net/detail/BIM-162980
American Medical Association (AMA)
al-Harbi, Ali& Chaudry, Tariq& al-Furayyih, Usamah& al-Suhaybani, Hammad& al-Shaybani, Khalid& al-Mashari, Khalid…[et al.]. Renal artery stenos is in renal transplantation presentation and management. Saudi Journal of Kidney Diseases and Transplantation. 1998. Vol. 9, no. 1, pp.22-26.
https://search.emarefa.net/detail/BIM-162980
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 26
Record ID
BIM-162980