Percutaneous renal artery embolisation of non-functioning renal allografts with clinical intolerance
2002; Springer Science+Business Media; Volume: 15; Issue: 4 Linguagem: Inglês
10.1111/j.1432-2277.2002.tb00145.x
ISSN1432-2277
AutoresFrederic Cofán, Maria-Isabel Real, Jordi Vilardell, Xavier Montanyà, Jordi Blasco, Pilar Martin, Federico Oppenheimer, Rafael Gutiérrez, R Talbot-Wright, Juan Alcóver,
Tópico(s)Renal Diseases and Glomerulopathies
ResumoTransplant InternationalVolume 15, Issue 4 p. 149-155 Free to Read Percutaneous renal artery embolisation of non-functioning renal allografts with clinical intolerance Federico Cofan, Corresponding Author Federico Cofan Renal Transplant Unit, Hospital Clinic, University of Barcelona, Villarroel 170, 08036 Barcelona, SpainE-mail: [email protected] Tel.: +34-93-2275423 Fax: +34-93-2275498Search for more papers by this authorMaria-Isabel Real, Maria-Isabel Real Department of Radiology, Hospital Clinic, University ofe Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this authorJordi Vilardell, Jordi Vilardell Renal Transplant Unit, Hospital Clinic, University of Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this authorXavier Montanya, Xavier Montanya Department of Radiology, Hospital Clinic, University ofe Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this authorJordi Blasco, Jordi Blasco Department of Radiology, Hospital Clinic, University ofe Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this authorPilar Martin, Pilar Martin Renal Transplant Unit, Hospital Clinic, University of Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this authorFederico Oppenheimer, Federico Oppenheimer Renal Transplant Unit, Hospital Clinic, University of Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this authorRafael Gutierrez, Rafael Gutierrez Renal Transplant Unit, Hospital Clinic, University of Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this authorRoberto Talbot-Wright, Roberto Talbot-Wright Renal Transplant Unit, Hospital Clinic, University of Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this authorJuan Alcover, Juan Alcover Renal Transplant Unit, Hospital Clinic, University of Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this author Federico Cofan, Corresponding Author Federico Cofan Renal Transplant Unit, Hospital Clinic, University of Barcelona, Villarroel 170, 08036 Barcelona, SpainE-mail: [email protected] Tel.: +34-93-2275423 Fax: +34-93-2275498Search for more papers by this authorMaria-Isabel Real, Maria-Isabel Real Department of Radiology, Hospital Clinic, University ofe Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this authorJordi Vilardell, Jordi Vilardell Renal Transplant Unit, Hospital Clinic, University of Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this authorXavier Montanya, Xavier Montanya Department of Radiology, Hospital Clinic, University ofe Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this authorJordi Blasco, Jordi Blasco Department of Radiology, Hospital Clinic, University ofe Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this authorPilar Martin, Pilar Martin Renal Transplant Unit, Hospital Clinic, University of Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this authorFederico Oppenheimer, Federico Oppenheimer Renal Transplant Unit, Hospital Clinic, University of Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this authorRafael Gutierrez, Rafael Gutierrez Renal Transplant Unit, Hospital Clinic, University of Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this authorRoberto Talbot-Wright, Roberto Talbot-Wright Renal Transplant Unit, Hospital Clinic, University of Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this authorJuan Alcover, Juan Alcover Renal Transplant Unit, Hospital Clinic, University of Barcelona, Villarroel 170, 08036 Barcelona, SpainSearch for more papers by this author First published: 11 March 2005 https://doi.org/10.1111/j.1432-2277.2002.tb00145.xCitations: 24AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Abstract Abstract The aim of the study was to evaluate the efficacy and safety of percutaneous renal artery embolisation of non-functioning renal allografts in patients with graft intolerance syndrome (GIS). Transcatheter artery embolisation was performed in 30 kidney transplant recipients with GIS. The duration of graft function had been 60±45 months. Infectious disease was ruled out in all patients. Embolisation consisted of the injection of polyvinyl alcohol microspheres followed by the insertion of a stainless steel coil in the renal artery branches. Symptoms of GIS included: fever-graft pain (44%, n=13), fever-hematuria-pain (20%, n=6), fever-hematuria (13%, n=4) and fever alone (23%, n=7). Latency time between graft failure and embolisation was 184±227 (17–1181) days. Embolisation was clinically successful with the prolonged disappearance of GIS in 24 patients (80%). Six patients showed initial clinical improvement, but GIS reappeared at 40±18 days, and graft nephrectomy was required. There were no major complications associated with embolisation and no death. Perirenal collateral supply was a risk factor for the reappearance of GIS. Renal vascular embolisation is a simple, safe and effective technique for treating renal allograft intolerance syndrome and could be a feasible alternative for the first-line treatment. References 1 Ballesteros-Sampol JJ (1994) Systematic extracapsular trasplantectomy of non-functioning renal graft. Actas Urol Esp 18: 532– 540. 2 Beaujeux R, Boudjema K, Ellero B, Rimmelin A, Roy C, Dietemann JL, Wolf P, Cinqualbre J, Bourjat P (1994) Endovascular treatment of renal allowgraft postbiopsy arteriovenous fistula with platinum microcoils. Transplantation 57: 311– 314. 3 Chiverton SG, Murie JA, Allen RD, Morris PJ (1987) Renal transplant nephrectomy. 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