Lohr J W, MacDougall M L, Chonko A M, Diederich D A, Grantham J J, Savin V J, Wiegmann T B
Am J Kidney Dis. 1986 May;7(5):363-7. doi: 10.1016/s0272-6386(86)80083-x.
Percutaneous transluminal angioplasty (PTA) was performed in five instances of renal transplant artery stenosis (RTAS) in four patients. Hypertension was present in all cases and improved after angioplasty together with reduction in medicine requirements. Abnormal renal function in four instances also improved after PTA. This reflects the current literature in which 76 of 90 patients were successfully treated by PTA (follow-up to 24 months), with two cases of recurrent stenosis, no mortality, and only a single case of graft loss. Vascular surgical repair succeeded in 130 to 180 patients, but graft loss occurred in 20 cases and recurrent stenosis in 11. Mortality was reported in five cases. Our review of the literature and experience suggests that PTA may be preferred in the treatment of RTAS.
对4例患者的5例肾移植动脉狭窄（RTAS）进行了经皮腔内血管成形术（PTA）。所有病例均存在高血压，血管成形术后血压改善，药物需求减少。4例肾功能异常在PTA后也有所改善。这与当前文献报道相符，90例患者中有76例经PTA成功治疗（随访至24个月），2例出现再狭窄，无死亡病例，仅1例移植肾丢失。血管外科修复手术成功治疗了130至180例患者，但有20例出现移植肾丢失，11例出现再狭窄。有5例报告了死亡病例。我们对文献的回顾和经验表明，在RTAS的治疗中，PTA可能是更可取的方法。
