title: A Systematic Review of Outcomes Following Percutaneous Transluminal Angioplasty and Stenting in the Treatment of Transplant Renal Artery Stenosis.
abstract: OBJECTIVE
  To evaluate outcomes following treatment of transplant renal artery stenosis by percutaneous transluminal angioplasty and stent insertion.
  
  
  METHODS
  A literature search was performed using Pubmed, MEDLINE, Embase, Wiley Interscience and the Cochrane Library databases. Outcome measures were glomerular filtration rate, creatinine, blood pressure and number of antihypertensive medications. Technical and clinical success, patency and complication rates were also analysed.
  
  
  RESULTS
  Thirty-two studies met the inclusion criteria, involving a total of 884 interventions including PTA, stenting, or combinations of both. Clinical success rates were in the range 65.5-94%. The majority of studies reported technical success rates higher than 90%. Patency rates were in the range of 42-100%. However, the definition and diagnostic criteria for TRAS varied widely between studies. Also, marked heterogeneity was observed in the reporting of outcome measures with no consensus in outcome criteria or follow up schedule.
  
  
  CONCLUSIONS
  Outcomes following PTA and stenting for the treatment of TRAS have been shown to be favourable. However, there is a distinct lack of well designed studies assessing outcomes following intervention. Outcome reporting may be improved by the introduction of standardised outcome measures with reporting of outcomes into a multi-centre registry.
authors.affiliation: Department of Interventional Radiology, St Mary's Hospital, Praed Street, London, W2 1NY, UK. an.ngo@nhs.net.
authors.forename: A T
authors.initials: AT
authors.lastname: Ngo
authors.affiliation: Department of Cancer and Surgery, St Mary's Hospital, London, UK. s.markar@imperial.ac.uk.
authors.forename: S R
authors.initials: SR
authors.lastname: Markar
authors.affiliation: Department of Radiology, Academic Medical Centre, Meibergdreef 9, 1105AZ, Amsterdam, The Netherlands. manoudelijster@gmail.com.
authors.forename: M S
authors.initials: MS
authors.lastname: De Lijster
authors.affiliation: Imperial College Kidney and Transplant Centre, Hammersmith Hospital, London, UK. neill.duncan@nhs.net.
authors.forename: N
authors.initials: N
authors.lastname: Duncan
authors.affiliation: Imperial College Kidney and Transplant Centre, Hammersmith Hospital, London, UK. d.taube@imperial.ac.uk.
authors.forename: D
authors.initials: D
authors.lastname: Taube
authors.affiliation: Department of Interventional Radiology, St Mary's Hospital, Praed Street, London, W2 1NY, UK. m.hamady@imperial.ac.uk.
authors.forename: M S
authors.initials: MS
authors.lastname: Hamady
mesh_terms: D017130:Angioplasty; D005919:Glomerular Filtration Rate; D006801:Humans; D016030:Kidney Transplantation; D011183:Postoperative Complications / Q000601:surgery / Q000628:therapy*; D012078:Renal Artery Obstruction / Q000601:surgery / Q000628:therapy*; D015607:Stents; D016896:Treatment Outcome; D014654:Vascular Patency
keywords: Angioplasty; Outcome; Percutaneous transluminal angiography; Stent; Transplant renal artery stenosis