Minimally invasive salvage therapy for transplanted renal allografts

Figures & data

Table 1. Data of patients with complications after renal transplantation.

Pt. sex/age	Type of donor	Type of anastomosis	Duration between Tx and complication onset	Clinical manifestations	Type of complications	Duration of follow-up (months)
1 M/40	Living donor	end-to-side	20 days	Elevation of S.Cr Uncontrolled Hypertension	TRAS	33
2 M/18	Living donor	end-to-end	3 months	Elevation of S.Cr Uncontrolled Hypertension	TRAS	21
3 M/24	Deceased donor	end-to-side	41 days	Elevation of S.Cr	TRAS	18
4 M/28	Deceased donor	end-to-end	2 months	Elevation of S.Cr Decreased Urine Output	TRAS, PAs	1^a
5 M/33	Deceased donor	end-to-end	6 days	Elevation of S.Cr	TRAS	1
6 F/37	Living donor	end-to-end	14 days	Elevation of S.Cr Acute Left Leg swelling	IVS	2
7 M/41	Deceased donor	end-to-end	23 days	Elevation of S.Cr Left Leg swelling	IVS	39
8 F/44	Living donor	end-to-side	9 years	Elevation of S.Cr	UO	15
9 M/49	Deceased donor	end-to-side	17 years	Elevation of S.Cr Oliguria, Fever	UO	8
10 M/32	Living donor	end-to-side	10 months	Elevation of S.Cr Oliguria, Ankle Edema	UO	2
11 M/32	Deceased donor	end-to-side	6 months	Elevation of S.Cr Oliguria	UO	25
12 F/31	Living donor	end-to-end	9 months	Elevation of S.Cr Oliguria	UO	17
13 F/33	Living donor	end-to-end	15 months	Elevation of S.Cr Oliguria	UO	45
14 M/41	Living donor	end-to-end	6 months	Elevation of S.Cr Oliguria	UO	11

Note: Pt., patient; Tx, transplantation; S.Cr, serum creatinine; TRAS, transplant renal artery stenosis; PAs, pseudoaneurysms; IVS, iliac vein stenosis; UO, ureteral obstruction.

^aThis 28 year-old male suffered acute rejection not curable with medical treatment.

Figure 1. (a–c) An 18-year-old male with elevated serum creatinine level and uncontrolled hypertension 3 months post-operatively. (a) Angiography showed about 80% stenosis (arrowhead) at the anastomosis of transplant renal artery. (b) Balloon was dilated until no “waist-sign” (arrowhead) was left. (c) Subsequent angiography showed almost no residual stenosis (arrowhead).

Figure 2. (a–d) A 33-year-old male with elevated serum creatinine level 6 days post-operatively. (a) Angiography showed about 80% stenosis (arrowhead) at the distal part of transplant renal artery near the renal hilum. (b) Balloon dilation was primary performed. Notice that the balloon diameter was selected in according with distal segmental artery (arrowhead). (c) Over 30% stenosis (arrowhead) was left after balloon dilation. (d) A balloon-expandable stent was deployed with almost no residual stenosis (arrowhead) left.

Figure 3. (a and b) A 44-year-old female with acute left leg swelling 14 days post-operatively. (a) Angiography showed extensive stenosis of the iliac vein caused by kinking. (b) Two bare stents in series were inserted and achieved perfect patency.