The medical management of renal artery stenosis in transplant recipients.
The investigation, management and clinical course of 12 patients developing stenosis of the renal artery following transplantation are described. The possible aetiology of the three arteriographic patterns of stenosis is discussed. Surgical correction of graft arterial stenosis is difficult and may lead to graft loss, whereas the outcome with antihypertensive drug treatment with or without anticoagulants is good. Surgery should only be contemplated if medical treatment is failing or if renal function is deteriorating.
D000925:Anticoagulants / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D006801:Humans; D016030:Kidney Transplantation; D011183:Postoperative Complications / Q000628:therapy*; D012078:Renal Artery Obstruction / Q000209:etiology / Q000628:therapy*; D013997:Time Factors; D014184:Transplantation, Homologous
D000925:Anticoagulants; D000959:Antihypertensive Agents