Unusual transplant renal angioplasty complication: case report.
We report an avulsion of a transplant upper pole renal artery following apparently successful percutaneous transluminal angioplasty (PTA) of a stenosis involving main, upper, and lower pole renal arteries. We believe that the use of a high pressure balloon was the causative factor. If the branches at the bifurcation cannot be protected and if the stenoses fail to resolve under moderate balloon insufflation pressures (less than 5-6 atmospheres), consideration should be given to surgical revascularization.
Weisman
I D
ID
Department of Radiology, Hennepin County Medical Center, Minneapolis, Minnesota 55415.
Ney
A L
AL
Andrisevic
J H
JH
Stanchfield
W
W
Odland
M D
MD
Andersen
R C
RC
D000328:Adult; D000800:Angioplasty, Balloon / Q000009:adverse effects*; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D011183:Postoperative Complications / Q000628:therapy*; D012077:Renal Artery / Q000293:injuries*; D012078:Renal Artery Obstruction / Q000628:therapy*