Boubenider S, Teyssou H, Hiesse C, Sebba A, Charpentier B, Cantarovich M, Benoit G, Tessier J P, Fries D
Service de Néphrologie, Faculté de Médecine Paris-Sud, Hôpital de Bicêtre, Kremlin Bicêtre.
Nephrologie. 1987;8(5):253-6.
A prospective study on digital intravenous angiography (DIVA) in 164 renal transplant recipients performed from 1 to 2 months post-transplant was conducted to assess its usefulness in the screening of post-transplant renal artery stenosis (RAS). DIVA was uninterpretable in 32 patients (19%) on technical grounds (blood vessel or metallic clip superimposed). The global prevalence of RAS was 10.7% in 132 patients whose DIVA was informative. No correlation was found between the prevalence of RAS and renal function. The prevalence of RAS was significantly higher (p less than 0.01) in the hypertensive (26%) than in the normotensive group (6.6%), but RAS may occur in normotensive or even asymptomatic patients. Our data confirm the usefulness of routine post-transplant renal artery screening but arterial way will be preferred.
对164例肾移植受者进行了一项前瞻性研究,这些受者在移植后1至2个月接受了数字静脉血管造影(DIVA),以评估其在筛查移植后肾动脉狭窄(RAS)中的作用。由于技术原因(血管或金属夹重叠),32例患者(19%)的DIVA无法解读。在DIVA有诊断价值的132例患者中,RAS的总体患病率为10.7%。未发现RAS患病率与肾功能之间存在相关性。高血压患者中RAS的患病率(26%)显著高于血压正常组(6.6%)(p<0.01),但血压正常或无症状的患者也可能发生RAS。我们的数据证实了移植后常规肾动脉筛查的作用,但动脉途径将是首选。