[Intravenous digital angiography in the kidney transplant patient: results of a systematic prospective study in 164 patients].
A prospective study on digital intravenous angiography (DIVA) in 164 renal transplant recipients performed from 1 to 2 months post-transplant was conducted to assess its usefulness in the screening of post-transplant renal artery stenosis (RAS). DIVA was uninterpretable in 32 patients (19%) on technical grounds (blood vessel or metallic clip superimposed). The global prevalence of RAS was 10.7% in 132 patients whose DIVA was informative. No correlation was found between the prevalence of RAS and renal function. The prevalence of RAS was significantly higher (p less than 0.01) in the hypertensive (26%) than in the normotensive group (6.6%), but RAS may occur in normotensive or even asymptomatic patients. Our data confirm the usefulness of routine post-transplant renal artery screening but arterial way will be preferred.
Boubenider
S
S
Service de Néphrologie, Faculté de Médecine Paris-Sud, Hôpital de Bicêtre, Kremlin Bicêtre.
Teyssou
H
H
Hiesse
C
C
Sebba
A
A
Charpentier
B
B
Cantarovich
M
M
Benoit
G
G
Tessier
J P
JP
Fries
D
D
D000328:Adult; D005260:Female; D006801:Humans; D006978:Hypertension, Renovascular / Q000000981:diagnostic imaging*; D007677:Kidney Function Tests; D016030:Kidney Transplantation; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D011446:Prospective Studies; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging*; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging*; D013382:Subtraction Technique
Angiographie numérisée par voie intraveineuse chez le transplanté rénal: résultats d'une étude prospective systématique chez 164 patients.