Abstract
Saphenous vein graft (SVG) bypass of the renal artery from the aorta has been well documented, though bypass of the internal iliac artery to the individual renal arteries is not yet described. We herewith present a case of early TRAS detected 6 hours after a successful renal transplant. Renal angiography showed complete stenosis of the internal iliac to renal artery anastomosis. Percutaneous transplant artery angioplasty was attempted, but was not successful; hence the surgical correction of the same was done. This is to demonstrate the use of saphenous vein bypass of anastomotic obstruction of the previous anastomosis, in case of short renal artery.
Highlights
Transplant renal artery stenosis (TRAS) is an increasingly recognized complication of kidney transplantation
We present a double saphenous vein bypass of the anastomotic site, without disturbing the anastomosis in case of short dual renal arteries
We present a 36-year-old young robust male, who was on dialysis for the last 6 years who underwent renal transplant
Summary
Transplant renal artery stenosis (TRAS) is an increasingly recognized complication of kidney transplantation. It represents a potentially reversible cause of hypertension and allograft dysfunction. The incidence varies from 1% to 23% depending on the center, the definition of TRAS, and the intensity of screening done. The detected incidence of TRAS increased from 2.4% to 12.4% at one center with the introduction of color Doppler ultrasonography. We present a double saphenous vein bypass of the anastomotic site, without disturbing the anastomosis in case of short dual renal arteries
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