Endovascular therapy of iliac artery stenosis proximal to the anastomosis in kidney transplantation: A case report

M. Ventura, M. Manno, F. Pisani, C. Mazzotta, V. Rizza, C. Spartera

Research output: Contribution to journalArticlepeer-review

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 languageEnglish
Pages (from-to)69-72
Number of pages4
JournalItalian Journal of Vascular and Endovascular Surgery
Volume15
Issue number1
Publication statusPublished - Mar 2008

Keywords

  • Atherosclerosis
  • Hypertension
  • Iliac artery
  • Kidney transplantation
  • Stents
  • Vascular obstruction

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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