Homotransplant renal artery stenosis.
Transplant renal artery stenosis occurred in 12 of 101 consecutive kidney transplants. Stenoses were all located in the renal artery distal to the anastomosis. Two separate forms of stenosis are recognized: angulation and segmental. All transplant patients with severe diastolic hypertension, refractory to medical management, and an audible abdominal bruit should undergo angiography. Surgical correction of the stenosis was accomplished in nine of 12 patients with cure of their hypertension.
D000792:Angiography; D001581:Benzothiadiazines / Q000627:therapeutic use; D002648:Child; D006145:Guanethidine / Q000627:therapeutic use; D006801:Humans; D006830:Hydralazine / Q000627:therapeutic use; D006977:Hypertension, Renal / Q000188:drug therapy / Q000209:etiology*; D016030:Kidney Transplantation; D008750:Methyldopa / Q000627:therapeutic use; D010643:Phenoxybenzamine / Q000627:therapeutic use; D011433:Propranolol / Q000627:therapeutic use; D012008:Recurrence; D012077:Renal Artery / Q000473:pathology; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D012110:Reserpine / Q000627:therapeutic use; D014184:Transplantation, Homologous; D014680:Veins / Q000637:transplantation
D001581:Benzothiadiazines; D010643:Phenoxybenzamine; D006830:Hydralazine; D008750:Methyldopa; D012110:Reserpine; D011433:Propranolol; D006145:Guanethidine