Transluminal Angioplasty of Transplanted Renal Artery Stenosis: A Review of the Literature for Its Safety and Efficacy

Transplant renal artery stenosis (TRAS) is a well-known cause of posttransplant hypertension accompanied by possible graft dysfunction and is potentially curable when is diagnosed early. Colour Doppler Ultrasonography (CDU) is the screening procedure of choice in most studies whereas some centers em...

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Main Authors: Polytimi Leonardou, Sofia Gioldasi, Paris Pappas
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Transplantation
Online Access:http://dx.doi.org/10.1155/2011/693820
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author Polytimi Leonardou
Sofia Gioldasi
Paris Pappas
author_facet Polytimi Leonardou
Sofia Gioldasi
Paris Pappas
author_sort Polytimi Leonardou
collection DOAJ
description Transplant renal artery stenosis (TRAS) is a well-known cause of posttransplant hypertension accompanied by possible graft dysfunction and is potentially curable when is diagnosed early. Colour Doppler Ultrasonography (CDU) is the screening procedure of choice in most studies whereas some centers employ Magnetic Resonance Angiography (MRA), if available. Although both CDU and MRA can arouse suspicion of disease in less symptomatic cases, angiographic techniques are essential for confirmation of TRAS. Percutaneous Transluminal Angioplasty (PTA) is a good and widespread therapeutic approach for the treatment of TRAS due to its acceptable complication rate and high technical success rate. The purpose of this paper is to assess the safety and efficacy of PTA in the treatment of TRAS, to compare the long-term outcomes between different reports, and to examine the role of PTA with stenting in inhibiting recurrence of the disease.
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spelling doaj-art-9cd408816f7048f3b24b5bfe0f7a95752025-02-03T05:44:14ZengWileyJournal of Transplantation2090-00072090-00152011-01-01201110.1155/2011/693820693820Transluminal Angioplasty of Transplanted Renal Artery Stenosis: A Review of the Literature for Its Safety and EfficacyPolytimi Leonardou0Sofia Gioldasi1Paris Pappas2Department of Radiology, Laikon General Hospital of Athens, 17 Ag. Thoma Street, 115 27 Athens, GreeceDepartment of Radiology, Laikon General Hospital of Athens, 17 Ag. Thoma Street, 115 27 Athens, GreeceDepartment of Radiology, Laikon General Hospital of Athens, 17 Ag. Thoma Street, 115 27 Athens, GreeceTransplant renal artery stenosis (TRAS) is a well-known cause of posttransplant hypertension accompanied by possible graft dysfunction and is potentially curable when is diagnosed early. Colour Doppler Ultrasonography (CDU) is the screening procedure of choice in most studies whereas some centers employ Magnetic Resonance Angiography (MRA), if available. Although both CDU and MRA can arouse suspicion of disease in less symptomatic cases, angiographic techniques are essential for confirmation of TRAS. Percutaneous Transluminal Angioplasty (PTA) is a good and widespread therapeutic approach for the treatment of TRAS due to its acceptable complication rate and high technical success rate. The purpose of this paper is to assess the safety and efficacy of PTA in the treatment of TRAS, to compare the long-term outcomes between different reports, and to examine the role of PTA with stenting in inhibiting recurrence of the disease.http://dx.doi.org/10.1155/2011/693820
spellingShingle Polytimi Leonardou
Sofia Gioldasi
Paris Pappas
Transluminal Angioplasty of Transplanted Renal Artery Stenosis: A Review of the Literature for Its Safety and Efficacy
Journal of Transplantation
title Transluminal Angioplasty of Transplanted Renal Artery Stenosis: A Review of the Literature for Its Safety and Efficacy
title_full Transluminal Angioplasty of Transplanted Renal Artery Stenosis: A Review of the Literature for Its Safety and Efficacy
title_fullStr Transluminal Angioplasty of Transplanted Renal Artery Stenosis: A Review of the Literature for Its Safety and Efficacy
title_full_unstemmed Transluminal Angioplasty of Transplanted Renal Artery Stenosis: A Review of the Literature for Its Safety and Efficacy
title_short Transluminal Angioplasty of Transplanted Renal Artery Stenosis: A Review of the Literature for Its Safety and Efficacy
title_sort transluminal angioplasty of transplanted renal artery stenosis a review of the literature for its safety and efficacy
url http://dx.doi.org/10.1155/2011/693820
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AT parispappas transluminalangioplastyoftransplantedrenalarterystenosisareviewoftheliteratureforitssafetyandefficacy