Severe renal vein stenosis of a kidney transplant with beneficial clinical course after successful percutaneous stenting.
A 51-year-old renal transplant recipient presented with marked renal function deterioration 13 months after renal transplantation. After exclusion of ureteral obstruction, transplant artery stenosis and acute rejection, the diagnosis of a severe renal vein stenosis was made by an MR scan. After angiographic confirmation of the stenosis, treatment was attempted with percutaneous stent angioplasty. The long-term clinical course was favorable, with marked improvement in renal function. Transplant renal vein stenosis is a rare, but potentially curable, cause of renal allograft functional deterioration.
Obed
A
A
Klinik und Poliklinik für Chirurgie, University of Regensburg, Regensburg, Germany. aiman.obed@klinik.uni-regensburg.de
Uihlein
D C
DC
Zorger
N
N
Farkas
S
S
Scherer
M N
MN
Krüger
B
B
Banas
B
B
Krämer
B K
BK
D003251:Constriction, Pathologic / Q000209:etiology*; D006801:Humans; D007668:Kidney / Q000601:surgery; D016030:Kidney Transplantation / Q000379:methods*; D018810:Magnetic Resonance Angiography / Q000379:methods; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy; D012078:Renal Artery Obstruction / Q000209:etiology / Q000601:surgery; D012082:Renal Veins / Q000473:pathology*; D015607:Stents; D016896:Treatment Outcome