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AJR 2003; 180:759-763
© American Roentgen Ray Society

Original Report

Early Posttransplantation Renal Allograft Perfusion Failure Due to Dissection: Diagnosis and Interventional Treatment

Masahide Takahashi1,2, Ulrich Humke3, Matthias Girndt4, Bernhard Kramann1 and Michael Uder1

1 Department of Diagnostic Radiology, The Saarland University Hospital, Kirrberger Str. 1, D-66421 Homburg (Saar), Germany.
2 Present address: Department of Radiology, Tsukuba-Gakuen Hospital, 2573-1 Kamiyokoba, Tsukuba, Ibaraki 305-0854, Japan.
3 Department of Urology, Julius-Maximilians University, Josef-Schneider Str. 2, D-97080 Wuerzburg, Germany.
4 Department of Nephrology, The Saarland University Hospital, D-66421 Homburg (Saar), Germany.

OBJECTIVE. The aim of our study was to describe the role of interventional radiology, especially in the use of vascular stents, in early renal perfusion failure after transplantation.

CONCLUSION. Angiography revealed intimal dissection of the graft artery and graft venous thrombosis, which were successfully treated with stent angioplasty and thromboaspiration. For early vascular complication after transplantation, timely use of angiography and subsequent intervention should be recognized as potentially effective and safe treatment techniques.


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