Elevated serum creatinine in a kidney transplant recipient: unusual suspect

We report a rare form of transplant renal artery stenosis discovered 3 months after transplantation. Our patient had mechanical renal artery "kinking", which responded to balloon angioplasty. Doppler ultrasound, followed by an arteriogram confirmed the diagnosis. This case demonstrates tha...

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Bibliographic Details
Published in:	Clinical nephrology Vol. 78; no. 4; p. 322
Main Authors:	Adibelli, Zelal, Woo, Edward, Abt, Peter, Goral, Simin
Format:	Journal Article
Language:	English
Published:	Germany 01-10-2012
Subjects:	Adult Creatinine - blood Female Humans Kidney Transplantation - adverse effects Postoperative Complications - etiology Radiography Renal Artery Obstruction - diagnostic imaging Renal Artery Obstruction - etiology
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Summary:	We report a rare form of transplant renal artery stenosis discovered 3 months after transplantation. Our patient had mechanical renal artery "kinking", which responded to balloon angioplasty. Doppler ultrasound, followed by an arteriogram confirmed the diagnosis. This case demonstrates that transplant renal artery "kinking" stenosis,though rare, can cause graft dysfunction and worsening hypertension in kidney transplant recipients.
ISSN:	0301-0430
DOI:	10.5414/cn107121