Beachley M C, Pierce J C, Boykin J V, Lee H M
Arch Surg. 1976 Feb;111(2):134-42. doi: 10.1001/archsurg.1976.01360200040007.
The renal arteriogram is a highly reliable test in the differential diagnosis of early transplant anuria, graft rejection, and hypertension. The reliability of the renal arteriogram was 97.8% in either substantiating or disproving the presence of a suspected episode of graft rejection or renal artery stenosis. The earliest signs of acute humoral and acute rejection were a prolongation of arterial clearance time, diffuse edema with enlargement of the kidney, and progressive deterioration of the nephrogram. Renal artery stenosis may be a sharply localized septum or an elongated narrowing at or distal to the actual site of anastomosis. This was seen primarily in patients' arteriograms more than 60 days after transplantation, and it is important because it is a surgically correctable cause of hypertension.
肾动脉造影是早期移植肾无尿、移植肾排斥反应和高血压鉴别诊断中一项高度可靠的检查。肾动脉造影在证实或排除疑似移植肾排斥反应或肾动脉狭窄发作方面的可靠性为97.8%。急性体液性和急性排斥反应的最早迹象是动脉清除时间延长、肾脏弥漫性水肿伴增大以及肾图逐渐恶化。肾动脉狭窄可能是一个明显局限的隔膜或吻合口实际部位或其远端的细长狭窄。这主要见于移植后60天以上患者的动脉造影中，并且很重要，因为它是一种可通过手术纠正的高血压病因。
