Renal transplant artery stenosis in children: treatment with percutaneous transluminal angioplasty.
Hypertension due to transplant renal artery stenosis was treated with percutaneous transluminal angioplasty (PTA) in 6 children. 8 angioplasties were performed and the follow-up period varied between 3 and 66 months (average 23 months). The stenoses were located at the site of anastomosis in 4 children and distal to the anastomosis in 2. PTA resulted in improvement of hypertension in all patients, although the need for antihypertensive medication remained. No grafts were lost. Our findings show that PTA of transplant renal artery stenosis in children is a good first choice of treatment.
Spijkerboer
A M
AM
University Hospital Utrecht, Department of Radiology, The Netherlands.
Mali
W P
WP
Donckerwolcke
R A
RA
D000293:Adolescent; D000800:Angioplasty, Balloon; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D006978:Hypertension, Renovascular / Q000209:etiology; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D012078:Renal Artery Obstruction / Q000209:etiology / Q000628:therapy*