Percutaneous transluminal dilation in renal transplant arterial stenosis

Kenneth W. Sniderman, Seymour Sprayregen, Thomas A. Sos, Souheil Saddekni, Susan Hilton, Fred Mollenkopf, Robert Soberman, Jhoong S. Cheigh, Luis Tapia, William Stubenbord, Vivian Tellis, Frank J. Veith

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Abstract

Twelve hypertensive patients underwent percutaneous transluminal dilation (PTD) for relief of arterial stenosis complicating renal allotransplantation. Two patients underwent repeat PTD for recurrent stenosis and hypertension. Six patients had end to end anastomosis of the donor renal artery to the recipient hypogastric artery; four of six PTDs were successful. Six patients had end to side anastomosis of the donor renal artery to the recipient external iliac artery; seven of eight PTDs, including one of two repeat PTDs, were successful. Prior to PTD, all patients were using several antihypertensive medications. Following successful PTD, the mean blood pressure dropped from 184 ± 15/118 ± 9 to 133 ± 13/89 ± 11 mm Hg (P < 0.001) and remained at that level for up to 15 months (average followup 9 months) with decreased or no antihypertensive medications. Since surgical correction of arterial stenosis occurring after renal transplantation is difficult and may endanger the graft, PTD should be the first interventional therapy.

Original languageEnglish (US)
Pages (from-to)440-444
Number of pages5
JournalTransplantation
Volume30
Issue number6
DOIs
Publication statusPublished - Dec 1980

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ASJC Scopus subject areas

  • Transplantation

Cite this

Sniderman, K. W., Sprayregen, S., Sos, T. A., Saddekni, S., Hilton, S., Mollenkopf, F., ... Veith, F. J. (1980). Percutaneous transluminal dilation in renal transplant arterial stenosis. Transplantation, 30(6), 440-444. https://doi.org/10.1097/00007890-198012000-00011