Abstract
Abstract. One hundred thirty-eight patients with transplant renal artery stenosis (TRAS) were identified among 1200 patients undergoing renal transplantation in our university hospital. Severe systemic hypertension was the main symptom leading to a diagnosis of TRAS. Only 88 TRAS patients were given interventional treatment consisting of percutaneous angioplasty (PTA; n= 49) or surgical repair (SR; n= 39). The immediate success rate was 92. 1% for SR and 69% for PTA. The long-term success rate was 81. 5% for SR and 40. 8% for PTA, with a follow-up period of 56. 722. 4 months (SR group) and 3228. 1 months (PTA group). PTA morbidity reached 28%, compared to 7. 6% in the SR group. In spite of these results, we still favor PTA as a first line interventional treatment when TRAS is recent, linear, and distal and primary SR in cases of kinking and proximal TRAS.
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