Peripheral Vascular Disease Involving Transplant Renal Artery

BACKGROUND: Transplant renal artery stenosis (TRAS) can afflict up-to one-fifth of patients with a transplanted kidney. It is associated with uncontrolled hypertension, loss of precious transplanted organs, and mortality. Pathophysiology, diagnosis, and treatment of TRAS is distinct from vascular diseases of the native kidney. The value of preservation of a transplanted kidney is unique, considering the emotional and surgical stakes involved. This field lacks large randomized trials, and ethically it may never be possible to randomize patients with a solitary transplanted kidney. Therefore, vascular interventionalists have to rely on treating factors that can cause graft malfunction like uncontrolled hypertension and renal ischemia, considering that sufficiently large, prospective, randomized data indicating that treating these factors make a difference may never emerge.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:33

Enthalten in:

The Journal of invasive cardiology - 33(2021), 10 vom: 15. Okt., Seite E798-E804

Sprache:

Englisch

Beteiligte Personen:

Singh, Gurpreet [VerfasserIn]
Jolly, Neeraj [VerfasserIn]

Themen:

Journal Article
Percutaneous renal interventions
Renal transplantation
TRAS
Transplant renal artery stenosis

Anmerkungen:

Date Completed 27.10.2021

Date Revised 27.10.2021

published: Print-Electronic

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM330638742