Analysis of Vascular Complications After Renal Transplantation

Post-kidney transplantation external iliac artery stenosis due to vascular clamp: report of a case

“…4 However, a number of case reports in the literature described graft dysfunction with low extremity claudication secondary to stenosis of the iliac artery proximal to the graft implantation site. 5,6 Most of these stenotic lesions are seen in transplant recipients who have suffered from peripheral arterial disease with atherosclerotic vascular damage.…”

“…4 These complications include renal artery thrombosis, renal artery stenosis, renal vein thrombosis and, rarely, iliac artery stenosis. The most common vascular complication is stenosis of the graft artery at the site of anastomosis with the recipient iliac artery, leading to graft dysfunction.…”

“…The most common vascular complication is stenosis of the graft artery at the site of anastomosis with the recipient iliac artery, leading to graft dysfunction. 4 The prevalence of iliac artery stenosis in kidney transplant recipients varies from 0.37% to 1.5%. 7 Posttransplant renal artery stenosis occurs more frequently, affecting 3-4% of all kidney transplants.…”

“…7 Posttransplant renal artery stenosis occurs more frequently, affecting 3-4% of all kidney transplants. 4 These stenotic lesions may result in reduced blood flow to the ipsilateral lower extremity as well as the kidney graft, leading to renal dysfunction and leg ischemia, and are usually detected because of clinical manifestations such as elevated serum creatinine levels, bruits, low extremity claudication, and renal vascular hypertension. 5 If the condition is suspected, patients should undergo biochemical work-up consisting of graft dysfunction and radiological investigation of iliac and transplanted kidney vessels using methods such as Doppler US and angiography.…”

Vascular Complications After Renal Transplantation

“…The surgical success rate varies between 63% and 92%, 26 and in 10%-12% of patients restenosis occurs within the first 8-9 months following surgery. 27 (a) (b) Fig. 5.…”