Aortoiliac Occlusive Disease as a Cause of Allograft Kidney Dysfunction and Refractory Hypertension / 고신대학교의과대학학술지
Kosin Medical Journal
;
: 168-172, 2019.
Artigo
em Inglês
| WPRIM
| ID: wpr-786384
ABSTRACT
Aortoiliac occlusive disease (AIOD), especially proximal to the transplant artery, in kidney transplant patient activates the renin-angiotensin-aldosterone system by limiting graft renal perfusion and causes symptoms that can occur with transplant renal artery stenosis (TRAS) such as refractory hypertension, water retention, and graft renal dysfunction. Immediate clinical suspicion is difficult due to the nature of the progressive disease unlike TRAS. Herein, we present an interesting case of bilateral common iliac artery occlusion (AIOD, TASC II, type C) that manifested as uncontrolled blood pressure and decreased allograft function in a patient who had kidney transplant 17 years ago. The patient was successfully diagnosed with duplex scan, ankle-brachial index (ABI) and computed tomography angiography and treated with percutaneous luminal angioplasty and stent graft insertion.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Perfusão
/
Fenobarbital
/
Artérias
/
Obstrução da Artéria Renal
/
Sistema Renina-Angiotensina
/
Pressão Sanguínea
/
Prótese Vascular
/
Água
/
Angiografia
/
Transplante de Rim
Limite:
Humanos
Idioma:
Inglês
Revista:
Kosin Medical Journal
Ano de publicação:
2019
Tipo de documento:
Artigo
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