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Post-Transplant Renal Artery Stenosis: A Possible Immunological Phenomenon

1991; Lippincott Williams & Wilkins; Volume: 145; Issue: 2 Linguagem: Inglês

10.1016/s0022-5347(17)38306-4

1527-3792

Manuel Macía, Álvaro Páez, Fernando Tornero, Parmenides De Oleo, Lucia Hidalgo, Alberto Barrientos,

Renal Diseases and Glomerulopathies

No AccessJournal of Urology1 Feb 1991Post-Transplant Renal Artery Stenosis: A Possible Immunological Phenomenon Manuel Macia, Alvaro Paez, Fernando Tornero, Parmenides De Oleo, Lucia Hidalgo, and Alberto Barrientos Manuel MaciaManuel Macia More articles by this author , Alvaro PaezAlvaro Paez More articles by this author , Fernando TorneroFernando Tornero More articles by this author , Parmenides De OleoParmenides De Oleo More articles by this author , Lucia HidalgoLucia Hidalgo More articles by this author , and Alberto BarrientosAlberto Barrientos More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)38306-4AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail A retrospective review of 110 consecutive kidney transplants performed during 4 years revealed the development of renal artery stenosis in 9 patients (8.18%). A comparison of this group with a control group similar in patient age and interval elapsed since transplantation revealed no significant differences in donor and recipient ages, degree of HLA compatibility or serum creatinine levels. However, there was a significant difference in the number of acute rejection episodes. In our series only male patients were affected. A sizable proportion of the patients (50%) had no detectable murmur over the graft area despite high blood pressure and increased creatinine levels. The absence of surgical injury during extraction and implantation of the grafts, together with the anatomical site of the stenosis and correlation with the degree of immunological intolerance suggest an immunological factor as the underlying cause in post-transplant renal artery stenosis. © 1991 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByHALIMI J, AL-NAJJAR A, BUCHLER M, BIRMELE B, TRANQUART F, ALISON D and LEBRANCHU Y (2018) TRANSPLANT RENAL ARTERY STENOSIS: POTENTIAL ROLE OF ISCHEMIA/REPERFUSION INJURY AND LONG-TERM OUTCOME FOLLOWING ANGIOPLASTYJournal of Urology, VOL. 161, NO. 1, (28-32), Online publication date: 1-Jan-1999.Nicita G, Villari D, Marzocco M, Li Marzi V, Trippitelli A and Santoro G (2018) ENDOLUMINAL STENT PLACEMENT AFTER PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY IN THE TREATMENT OF POST-TRANSPLANT RENAL ARTERY STENOSISJournal of Urology, VOL. 159, NO. 1, (34-37), Online publication date: 1-Jan-1998.Sutherland R, Spees E, Jones J and Fink D (2018) Renal Artery Stenosis After Renal Transplantation: The Impact of the Hypogastric Artery AnastomosisJournal of Urology, VOL. 149, NO. 5 Part 1, (980-985), Online publication date: 1-May-1993. Volume 145Issue 2February 1991Page: 251-252 Advertisement Copyright & Permissions© 1991 by The American Urological Association Education and Research, Inc.Keywordstransplantationrenal artery obstructionkidneyMetricsAuthor Information Manuel Macia More articles by this author Alvaro Paez More articles by this author Fernando Tornero More articles by this author Parmenides De Oleo More articles by this author Lucia Hidalgo More articles by this author Alberto Barrientos More articles by this author Expand All Advertisement Loading ...