Aortoiliac Occlusive Disease as a Cause of Allograft Kidney Dysfunction and Refractory Hypertension
10.7180/kmj.2019.34.2.168
- Author:
HaengJin OHE
1
Author Information
1. Department of surgery, Seoul Paik hospital, Inje University, Korea. Jin.theDoc@gmail.com
- Publication Type:Case Report
- Keywords:
Allograft dysfunction;
Common iliac artery;
Kidney transplantation;
Refractory hypertension
- MeSH:
Allografts;
Angiography;
Angioplasty;
Ankle Brachial Index;
Arteries;
Blood Pressure;
Blood Vessel Prosthesis;
Humans;
Hypertension;
Iliac Artery;
Kidney Transplantation;
Kidney;
Perfusion;
Phenobarbital;
Renal Artery Obstruction;
Renin-Angiotensin System;
Transplants;
Water
- From:Kosin Medical Journal
2019;34(2):168-172
- CountryRepublic of Korea
- Language:English
-
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.
