Hu R H, Tsang Y M, Lee P H, Lee C J, Lee C S
Department of Surgery, National Taiwan University Hospital, Taipei, R.O.C.
J Formos Med Assoc. 1994 Oct;93(10):875-8.
Graft renal artery stenosis is one of the causes of hypertension after kidney transplantation. Surgical angioplasty was the treatment of choice before the development of percutaneous transluminal angioplasty (PTA) in the 1970s. Surgical repair was associated with some morbidity and graft loss while PTA was reported to have controversial results in the treatment of this disease. This is a report of two cases of graft renal artery stenosis occurring four and seven months after kidney transplantation that were treated with PTA. The immediate and short-term results of PTA were excellent, but the long-term effects require further follow-up.
移植肾动脉狭窄是肾移植术后高血压的病因之一。在20世纪70年代经皮腔内血管成形术(PTA)出现之前,外科血管成形术是首选的治疗方法。外科修复伴有一定的发病率和移植肾丢失,而据报道PTA治疗该病的结果存在争议。本文报告两例肾移植术后4个月和7个月发生移植肾动脉狭窄并接受PTA治疗的病例。PTA的即刻和短期效果极佳,但长期效果需要进一步随访。