Abstract
Impairment of kidney graft perfusion, arterial hypertension and lower limb ischemia may result from iliac artery stenosis proximal to the anastomosis of a renal transplant. This case report describes a renal transplant patient who developed claudication of the limb ipsilateral to the iliac artery where the transplant was performed. Echo-color-Doppler ultrasound revealed iliac artery stenosis proximal to the anastomosis, which was subsequently confirmed by digital subtraction angiography (DSA). The stenosis was successfully treated with percutaneous transluminal angioplasty (PTA) and stenting. Routine follow-up examinations showed good anatomic result, improved renal hypertension and resolution of claudication. These observations confirm that renal transplant patients are at risk of developing atherosclerosis of the iliac artery proximal to anastomosis. Echo-color-Doppler ultrasound is a less invasive method for diagnosis and follow-up monitoring. PTA plus stenting is a viable treatment option that can resolve renal perfusion and lower limb claudication.
| Original language | English |
|---|---|
| Pages (from-to) | 69-72 |
| Number of pages | 4 |
| Journal | Italian Journal of Vascular and Endovascular Surgery |
| Volume | 15 |
| Issue number | 1 |
| Publication status | Published - Mar 2008 |
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Keywords
- Atherosclerosis
- Hypertension
- Iliac artery
- Kidney transplantation
- Stents
- Vascular obstruction
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Endovascular therapy of iliac artery stenosis proximal to the anastomosis in kidney transplantation : A case report. / Ventura, M.; Manno, M.; Pisani, F.; Mazzotta, C.; Rizza, V.; Spartera, C.
In: Italian Journal of Vascular and Endovascular Surgery, Vol. 15, No. 1, 03.2008, p. 69-72.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Endovascular therapy of iliac artery stenosis proximal to the anastomosis in kidney transplantation
T2 - A case report
AU - Ventura, M.
AU - Manno, M.
AU - Pisani, F.
AU - Mazzotta, C.
AU - Rizza, V.
AU - Spartera, C.
PY - 2008/3
Y1 - 2008/3
N2 - Impairment of kidney graft perfusion, arterial hypertension and lower limb ischemia may result from iliac artery stenosis proximal to the anastomosis of a renal transplant. This case report describes a renal transplant patient who developed claudication of the limb ipsilateral to the iliac artery where the transplant was performed. Echo-color-Doppler ultrasound revealed iliac artery stenosis proximal to the anastomosis, which was subsequently confirmed by digital subtraction angiography (DSA). The stenosis was successfully treated with percutaneous transluminal angioplasty (PTA) and stenting. Routine follow-up examinations showed good anatomic result, improved renal hypertension and resolution of claudication. These observations confirm that renal transplant patients are at risk of developing atherosclerosis of the iliac artery proximal to anastomosis. Echo-color-Doppler ultrasound is a less invasive method for diagnosis and follow-up monitoring. PTA plus stenting is a viable treatment option that can resolve renal perfusion and lower limb claudication.
AB - Impairment of kidney graft perfusion, arterial hypertension and lower limb ischemia may result from iliac artery stenosis proximal to the anastomosis of a renal transplant. This case report describes a renal transplant patient who developed claudication of the limb ipsilateral to the iliac artery where the transplant was performed. Echo-color-Doppler ultrasound revealed iliac artery stenosis proximal to the anastomosis, which was subsequently confirmed by digital subtraction angiography (DSA). The stenosis was successfully treated with percutaneous transluminal angioplasty (PTA) and stenting. Routine follow-up examinations showed good anatomic result, improved renal hypertension and resolution of claudication. These observations confirm that renal transplant patients are at risk of developing atherosclerosis of the iliac artery proximal to anastomosis. Echo-color-Doppler ultrasound is a less invasive method for diagnosis and follow-up monitoring. PTA plus stenting is a viable treatment option that can resolve renal perfusion and lower limb claudication.
KW - Atherosclerosis
KW - Hypertension
KW - Iliac artery
KW - Kidney transplantation
KW - Stents
KW - Vascular obstruction
UR - http://www.scopus.com/inward/record.url?scp=42549135048&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=42549135048&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:42549135048
VL - 15
SP - 69
EP - 72
JO - Italian Journal of Vascular and Endovascular Surgery
JF - Italian Journal of Vascular and Endovascular Surgery
SN - 1824-4777
IS - 1
ER -