Kaude J V, Fuller T J, Hawkins I F, Juncos L I, Pfaff W W
Rofo. 1977 Aug;127(2):119-23. doi: 10.1055/s-0029-1230667.
Angiograms of 34 kidney transplant patients with progressive decrease in renal function after multiple doses of intravenous methylprednisolone (MP) were evaluated retrospectively in regard to the prognostic value of angiography. The following parameters were included in evaluation: prolonged arterial washout time, large vessel vasculitis, presence of arteriovenous shunting, poor cortical perfusion as evidenced by non-filling of cortical vessels, poor definition of cortico-medullary junction, and a poor nephrogram. When 1 to 3 of these abnormalities existed in angiogram, 67% of living related donor transplants (LRD) recovered under continued MP-therapy. With 4-6 angiographic abnormalities the recovery rate was reduced to 30%. The overall recovery rate for LRD transplants was 44%. Cadaveric transplants (CAD) had a statistically significant poorer prognosis as evidenced by only 8% recovery rate under continued MP-therapy.
对34例多次静脉注射甲基强的松龙（MP）后肾功能逐渐下降的肾移植患者的血管造影进行回顾性评估，以探讨血管造影的预后价值。评估包括以下参数：动脉洗脱时间延长、大血管血管炎、动静脉分流的存在、皮质血管未充盈所证明的皮质灌注不良、皮质髓质交界处清晰度差以及肾图不佳。血管造影中存在1至3种这些异常情况时，67%的活体亲属供肾移植（LRD）在持续MP治疗下恢复。存在4至6种血管造影异常时，恢复率降至30%。LRD移植的总体恢复率为44%。尸体肾移植（CAD）的预后在统计学上明显较差，持续MP治疗下的恢复率仅为8%。
