| Revista: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000434709 |
| ISSN: | 1677-5538 |
| Autores: | Marchini, Giovanni Scala1 Bull, Alexandre Sallum1 Piovesan, Affonso Celso1 Yamaçake, Kleiton Gabriel Ribeiro1 Antonopoulos, Ioannis Michel1 Falci, Renato1 Kanashiro, Hideki1 Ebaid, Gustavo1 Carnevale, Francisco César1 Messi, Gustavo1 Nahas, William Carlos1 |
| Instituciones: | 1Universidade de Sao Paulo, Faculdade de Medicina, Sao Paulo. Brasil |
| Año: | 2019 |
| Periodo: | Sep-Dic |
| Volumen: | 45 |
| Número: | 5 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | Objective To evaluate the effectiveness and outcomes of endovascular treatment of TRAS with PTA. Materials and Methods We searched our prospectively collected database looking at cases of TRAS between January 2005-December 2011. CCT was the gold-standart for diagnosis of TRAS. Parameters analysed comprised technical aspects, arterial blood pressure variation, and renal function. A minimum follow-up of 24 months was considered. Results Of the 2221 renal transplants performed in the selected period, 22 (0.9%) patients were identified with TRAS. Fourteen (63.6%) were male and mean age was 377±14.8years (12-69). Kidney graft was from deceased donnors in 20 (80%) cases. On doppler evaluation, mean blood flow speed after transplantation, at TRAS diagnosis and after TAP was 210.6±99.5, 417±122.7 and 182.5±81.6mL/sec, respectively (p<0.001). For SBP and DBP, there was a significant difference between between pre-intervention and all post-treatment time points (p<0.001). After 1 month of the procedure, there was stabilization of the Cr level with a significant difference between mean Cr levels along time (p<0.001). After a mean follow-up of 16±4.2 (3-24) months, overall success rate was 100%. Conclusions Endovascular treatment with PTA/stenting is a safe and effective option for managing TRAS, ensuring the functionality of the graft and normalization of blood pressure and renal function |
| Disciplinas: | Medicina |
| Palabras clave: | Nefrología, Cirugía, Trasplante de riñón, Estenosis arterial, Terapia endovascular |
| Keyword: | Nephrology, Surgery, Kidney transplantation, Arterial stenosis, Endovascular therapy |
| Texto completo: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
