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Transplant renal artery angioplasty

Case - 1 : This elderly gentleman had undergone renal transplant few months ago and then presented with deterioration of function of transplant kidney and uncontrolled hypertension. For transplant renal artery stenosis . angioplasty and stenting is the choice of treatment.
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 Right iliac angiogram was done through left femoral route by cross over technique . It showed renal artery stenosis of transplant kidney at anastomotic site.
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Through left femoral route , the stenosis was dilated and stent was placed across to keep it open. Poststenting angiogram shows that calibre of stenosed segment has been restored to normal.

 

Case - 2. Another patient with similar problem

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Transplant kidney renal artery stenosis is seen involving its proximal segment from anastomosis.
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Guidewire is  across renal artery stenosis  into the distal intrarenal branches.
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To dilate the stenosis, stent was deployed
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Post angioplasty and stenting angiogram shows normal restoration of the lumen of renal artery.

 

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