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A recent report has challenged the efficacy and safety of percutaneous transluminal angioplasty (PTA) for the treatment of transplant renal artery stenosis (TRAS). From January 1983 to December 1990, 24 PTA procedures were performed for TRAS in 18 patients. The stenoses were anastomotic in two cases, in the main renal artery in 14, and segmental in eight. After PTA, the residual stenosis was less than 20% in 14 (58%), 20%-50% in four (17%), and greater than 50% in six (25%). The mean diastolic blood pressure decreased from 106 mm Hg 1 day prior to PTA to 82 mm Hg 1 day after PTA. Long-term follow-up mean diastolic blood pressure (at 2-32 months) was 93 mm Hg (P less than .01). Eleven of the 18 patients (63%) had a 10% or greater reduction in diastolic blood pressure on long-term follow-up. Major complications occurred in two patients; one groin hematoma required surgical evacuation, and one polar infarct led to hypertension that was difficult to control. No surgical revisions of the transplant renal artery were necessary. The authors' data indicate that PTA should remain the treatment of choice for nonanastomotic TRAS.
T A Matalon, and
M J Thompson, and
S K Patel, and
M C Brunner, and
F K Merkel, and
S C Jensik
June 1996,
Transplantation proceedings,
T A Matalon, and
M J Thompson, and
S K Patel, and
M C Brunner, and
F K Merkel, and
S C Jensik
January 2004,
Indian heart journal,
T A Matalon, and
M J Thompson, and
S K Patel, and
M C Brunner, and
F K Merkel, and
S C Jensik
May 1987,
Clinical radiology,
T A Matalon, and
M J Thompson, and
S K Patel, and
M C Brunner, and
F K Merkel, and
S C Jensik
June 1987,
Investigative radiology,
T A Matalon, and
M J Thompson, and
S K Patel, and
M C Brunner, and
F K Merkel, and
S C Jensik
January 1985,
Acta radiologica: diagnosis,
T A Matalon, and
M J Thompson, and
S K Patel, and
M C Brunner, and
F K Merkel, and
S C Jensik
January 2014,
Annals of the Academy of Medicine, Singapore,
T A Matalon, and
M J Thompson, and
S K Patel, and
M C Brunner, and
F K Merkel, and
S C Jensik
March 1990,
The Journal of urology,
T A Matalon, and
M J Thompson, and
S K Patel, and
M C Brunner, and
F K Merkel, and
S C Jensik
December 1982,
Transplantation,
T A Matalon, and
M J Thompson, and
S K Patel, and
M C Brunner, and
F K Merkel, and
S C Jensik
February 1983,
AJR. American journal of roentgenology,
T A Matalon, and
M J Thompson, and
S K Patel, and
M C Brunner, and
F K Merkel, and
S C Jensik
January 1992,
Pediatric radiology,
