Acute renal allograft failure due to thrombosis of a previously stented iliac artery: salvage using mechanical thrombectomy and restenting.
BACKGROUND
Renal artery stenosis is the most common surgical complication after renal transplantation. RT stenosis of the iliac artery presents in a similar way. Interventional techniques can salvage the graft in most cases.


METHODS
We report a renal transplant recipient who developed acute ischemic graft failure due to thrombosis of a previously stented iliac artery. He was successfully treated with mechanical thrombectomy and re-stenting. By this, we were able to salvage the graft with good long-term function.


CONCLUSIONS
To the best of our knowledge this is the first case of restenting of an iliac artery in the setting of RT. Interventional radiology should be the approach in such cases.
Ismaeel
Maged M
MM
Department of Radiology, University of Virginia Medical Center, Charlottesville, VA 22908, USA.
Bonatti
Hugo
H
Housseini
Ahmad M
AM
Ahmad
Ehab
E
Pruett
Timothy L
TL
Brayman
Kenneth
K
Hagspiel
Klaus D
KD
D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects* / Q000473:pathology / Q000502:physiology; D008297:Male; D008875:Middle Aged; D015607:Stents; D017131:Thrombectomy; D013927:Thrombosis / Q000209:etiology* / Q000473:pathology; D014057:Tomography, X-Ray Computed