Salvage of hyperacute renal transplant hypoperfusion with stent placement: a case report.
The authors report on a patient who underwent renal artery stent placement 6 hours after transplantation due to acute hypoperfusion of the transplant, which was diagnosed with intraoperative Doppler ultrasonography. Extensive atherosclerotic disease of the cadaveric transplant renal artery necessitated endarterectomy before creation of the anastomosis, and no further surgical options were considered feasible by the transplant surgeon. Six hours after the transplantation, percutaneous transluminal renal angioplasty and stent placement were performed, resulting in restoration of normal arterial flow and rescue of allograft function.
Department of Radiology, University of Virginia Health System, Box 800170, Lee St, Charlottesville, VA 22908, USA.
Ahmed M
AM
Housseini
Ugur
U
Bozlar
Hugo
H
Bonatti
Kenneth L
KL
Brayman
Timothy M
TM
Schmitt
Klaus D
KD
Hagspiel
D015901:Angiography, Digital Subtraction; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D004691:Endarterectomy; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D016030:Kidney Transplantation / Q000009:adverse effects*; D008875:Middle Aged; D012077:Renal Artery / Q000473:pathology / Q000637:transplantation; D012078:Renal Artery Obstruction / Q000209:etiology / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*; D012079:Renal Circulation; D016879:Salvage Therapy; D015607:Stents; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014654:Vascular Patency