Revascularization of kidney allograft after renal artery occlusion secondary to angioplasty.
Arterial thrombosis causing complete occlusion is a rare event in the natural history of a transplanted allograft; an incidence of 1.4% has been reported. This condition usually results from technical problems, hyperacute rejection, severe atherosclerosis, or injury to donor or recipient arteries. The treatment of choice is transplant nephrectomy. We report a case of renal artery occlusion after a therapeutic radiological procedure and subsequent salvaging of the graft. The case report shows that an aggressive surgical approach toward restoring circulation is worth the effort.
Subramaniam
Murali
M
Department of Surgery, Western Infirmary, Glasgow, United Kingdom.
Edwards
Richard
R
Osman
Hisham Y
HY
D000328:Adult; D017130:Angioplasty / Q000009:adverse effects*; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006085:Graft Survival; D006801:Humans; D006973:Hypertension / Q000150:complications; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000601:surgery; D016030:Kidney Transplantation / Q000009:adverse effects; D008297:Male; D009392:Nephrectomy; D012078:Renal Artery Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D015424:Reperfusion / Q000379:methods; D016879:Salvage Therapy / Q000379:methods; D017131:Thrombectomy / Q000379:methods*; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014184:Transplantation, Homologous