Successful technical and clinical outcome using a second generation balloon expandable coronary stent for transplant renal artery stenosis: Our experience

Transplant renal artery stenosis (TRAS) is a vascular complication frequently seen because of increase in the number of renal transplantations. Early diagnosis and management is essential to optimize a proper graft function. Currently, the endovascular treatment of TRAS using angioplasty and/or sten...

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Bibliographic Details
Published in:Journal of radiology case reports 2015-10, Vol.9 (10), p.9-17
Main Authors: Salsamendi, Jason, Pereira, Keith, Baker, Reginald, Bhatia, Shivank S, Narayanan, Govindarajan
Format: Article
Language:English
Subjects:
Aged
Angioplasty
Diagnosis, Differential
Diagnostic Imaging
Female
Humans
Kidney Transplantation - adverse effects
Male
Middle Aged
Prognosis
Prosthesis Design
Renal Artery - anatomy & histology
Renal Artery Obstruction - diagnosis
Renal Artery Obstruction - etiology
Renal Artery Obstruction - therapy
Stents
Treatment Outcome
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Summary:Transplant renal artery stenosis (TRAS) is a vascular complication frequently seen because of increase in the number of renal transplantations. Early diagnosis and management is essential to optimize a proper graft function. Currently, the endovascular treatment of TRAS using angioplasty and/or stenting is considered the treatment of choice with the advantage that it does not preclude subsequent surgical correction. Treatment of TRAS with the use of stents, particularly in tortuous transplant renal anatomy presents a unique challenge to an interventional radiologist. In this study, we present three cases from our practice highlighting the use of a balloon-expandable Multi-Link RX Ultra coronary stent system (Abbott Laboratories, Abbott Park, Illinois, USA) for treating high grade focal stenosis along very tortuous renal arterial segments. Cobalt-Chromium alloy stent scaffold provides excellent radial force, whereas the flexible stent design conforms to the vessel course allowing for optimal stent alignment.
ISSN:1943-0922
1943-0922
DOI:10.3941/jrcr.v9i10.2535