Acute renal allograft dysfunction secondary to suprarenal arterial stenosis: a case series and review of the literature.
Stenosis of vessels proximal to the renal artery is an unusual cause of allograft ischemia. We report four patients who had such 'suprarenal' arterial stenoses leading to graft dysfunction that was reversed with revascularization. We additionally review the existing literature on this entity, outline the etiologies of such stenoses, as well as discuss the surgical and non-surgical therapeutic options in patients with this uncommon cause of allograft dysfunction.
Mathur
V S
VS
Renal Transplant Service, University of California, San Francisco 94143, USA.
Kerlan
R K
RK
Melzer
J
J
Tomlanovich
S J
SJ
Amend
W
W
D000208:Acute Disease; D000368:Aged; D001018:Aortic Diseases / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D003251:Constriction, Pathologic / Q000150:complications / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000473:pathology*; D007511:Ischemia / Q000209:etiology / Q000503:physiopathology; D007668:Kidney / Q000098:blood supply; D007674:Kidney Diseases / Q000209:etiology* / Q000503:physiopathology; D016030:Kidney Transplantation / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D012077:Renal Artery / Q000473:pathology; D015607:Stents; D014184:Transplantation, Homologous