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Genitourinary
Diagnosis
Kidney and Renal Pelvis
Transplantation
Transplant Renal Artery Stenosis
Transplant Renal Artery Stenosis
Ghaneh Fananapazir, MD, FSAR, FSRU, FSABI
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Transplant renal artery stenosis (TRAS)

            • Definitions

              • Narrowing of graft renal artery leading to decreased vascular inflow

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • CT Findings

                  • MR Findings

                    • Angiographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            CLINICAL ISSUES

                            • Presentation

                              • Natural History & Prognosis

                                • Treatment

                                  Selected References

                                  1. Kazmierski BJ et al: Contrast-enhanced ultrasound for the evaluation of renal transplants. J Ultrasound Med. 39(12):2457-68, 2020
                                  2. Ren Y et al: Endovascular management of transplant renal artery stenosis: a single-center retrospective study. Catheter Cardiovasc Interv. 95(3):429-36, 2020
                                  3. Dickey KW et al: Does endovascular intervention for transplant renal artery stenosis improve outcomes at 10 years? Radiology. 290(2):564-5, 2019
                                  4. Fan M et al: Assessment of transplant renal artery stenosis with diffusion-weighted imaging: a preliminary study. Magn Reson Imaging. 60:157-63, 2019
                                  5. Patel U et al: Long-term graft and patient survival after percutaneous angioplasty or arterial stent placement for transplant renal artery stenosis: a 21-year matched cohort study. Radiology. 290(2):555-63, 2019
                                  6. Rouer M et al: Long-term outcomes after transplant renal artery stenosis surgery. Ann Vasc Surg. 54:261-8, 2019
                                  7. Adani GL et al: Detection of transplant renal artery stenosis with contrast-enhanced ultrasound. Radiol Case Rep. 13(4):890-4, 2018
                                  8. Chen LX et al: Angioplasty vs stent in the treatment of transplant renal artery stenosis. Clin Transplant. 32(4):e13217, 2018
                                  9. Kadoya Y et al: Endovascular treatment of transplant renal artery stenosis based on hemodynamic assessment using a pressure wire: a case report. BMC Cardiovasc Disord. 18(1):172, 2018
                                  10. Li CM et al: Short-term outcomes using a drug-coated balloon for transplant renal artery stenosis. Ann Transplant. 23:75-80, 2018
                                  11. Li Marzi V et al: Standardized duplex ultrasound-based protocol for early diagnosis of transplant renal artery stenosis: results of a single-institution retrospective cohort study. Biomed Res Int. 2018:2580181, 2018
                                  12. Zhang LJ et al: Non-contrast-enhanced magnetic resonance angiography: a reliable clinical tool for evaluating transplant renal artery stenosis. Eur Radiol. 28(10):4195-204, 2018
                                  13. Fananapazir G et al: Comparison of ferumoxytol-enhanced MRA with conventional angiography for assessment of severity of transplant renal artery stenosis. J Magn Reson Imaging. 45(3):779-85, 2017
                                  14. Fananapazir G et al: Screening for transplant renal artery stenosis: ultrasound-based stenosis probability stratification. AJR Am J Roentgenol. 209(5):1064-73, 2017
                                  15. Pan FS et al: Transplant renal artery stenosis: evaluation with contrast-enhanced ultrasound. Eur J Radiol. 90:42-9, 2017
                                  16. Robinson KA et al: Detection of transplant renal artery stenosis: determining normal velocities at the renal artery anastomosis. Abdom Radiol (NY). 42(1):254-9, 2017
                                  17. Chen W et al: Transplant renal artery stenosis: clinical manifestations, diagnosis and therapy. Clin Kidney J. 8(1):71-8, 2015
                                  18. Ngo AT et al: A systematic review of outcomes following percutaneous transluminal angioplasty and stenting in the treatment of transplant renal artery stenosis. Cardiovasc Intervent Radiol. 38(6):1573-88, 2015
                                  19. Willicombe M et al: Postanastomotic transplant renal artery stenosis: association with de novo class II donor-specific antibodies. Am J Transplant. 14(1):133-43, 2014
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Pathology

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Abbreviations

                                              • Transplant renal artery stenosis (TRAS)

                                            • Definitions

                                              • Narrowing of graft renal artery leading to decreased vascular inflow

                                            IMAGING

                                            • General Features

                                              • Ultrasonographic Findings

                                                • CT Findings

                                                  • MR Findings

                                                    • Angiographic Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  Selected References

                                                                  1. Kazmierski BJ et al: Contrast-enhanced ultrasound for the evaluation of renal transplants. J Ultrasound Med. 39(12):2457-68, 2020
                                                                  2. Ren Y et al: Endovascular management of transplant renal artery stenosis: a single-center retrospective study. Catheter Cardiovasc Interv. 95(3):429-36, 2020
                                                                  3. Dickey KW et al: Does endovascular intervention for transplant renal artery stenosis improve outcomes at 10 years? Radiology. 290(2):564-5, 2019
                                                                  4. Fan M et al: Assessment of transplant renal artery stenosis with diffusion-weighted imaging: a preliminary study. Magn Reson Imaging. 60:157-63, 2019
                                                                  5. Patel U et al: Long-term graft and patient survival after percutaneous angioplasty or arterial stent placement for transplant renal artery stenosis: a 21-year matched cohort study. Radiology. 290(2):555-63, 2019
                                                                  6. Rouer M et al: Long-term outcomes after transplant renal artery stenosis surgery. Ann Vasc Surg. 54:261-8, 2019
                                                                  7. Adani GL et al: Detection of transplant renal artery stenosis with contrast-enhanced ultrasound. Radiol Case Rep. 13(4):890-4, 2018
                                                                  8. Chen LX et al: Angioplasty vs stent in the treatment of transplant renal artery stenosis. Clin Transplant. 32(4):e13217, 2018
                                                                  9. Kadoya Y et al: Endovascular treatment of transplant renal artery stenosis based on hemodynamic assessment using a pressure wire: a case report. BMC Cardiovasc Disord. 18(1):172, 2018
                                                                  10. Li CM et al: Short-term outcomes using a drug-coated balloon for transplant renal artery stenosis. Ann Transplant. 23:75-80, 2018
                                                                  11. Li Marzi V et al: Standardized duplex ultrasound-based protocol for early diagnosis of transplant renal artery stenosis: results of a single-institution retrospective cohort study. Biomed Res Int. 2018:2580181, 2018
                                                                  12. Zhang LJ et al: Non-contrast-enhanced magnetic resonance angiography: a reliable clinical tool for evaluating transplant renal artery stenosis. Eur Radiol. 28(10):4195-204, 2018
                                                                  13. Fananapazir G et al: Comparison of ferumoxytol-enhanced MRA with conventional angiography for assessment of severity of transplant renal artery stenosis. J Magn Reson Imaging. 45(3):779-85, 2017
                                                                  14. Fananapazir G et al: Screening for transplant renal artery stenosis: ultrasound-based stenosis probability stratification. AJR Am J Roentgenol. 209(5):1064-73, 2017
                                                                  15. Pan FS et al: Transplant renal artery stenosis: evaluation with contrast-enhanced ultrasound. Eur J Radiol. 90:42-9, 2017
                                                                  16. Robinson KA et al: Detection of transplant renal artery stenosis: determining normal velocities at the renal artery anastomosis. Abdom Radiol (NY). 42(1):254-9, 2017
                                                                  17. Chen W et al: Transplant renal artery stenosis: clinical manifestations, diagnosis and therapy. Clin Kidney J. 8(1):71-8, 2015
                                                                  18. Ngo AT et al: A systematic review of outcomes following percutaneous transluminal angioplasty and stenting in the treatment of transplant renal artery stenosis. Cardiovasc Intervent Radiol. 38(6):1573-88, 2015
                                                                  19. Willicombe M et al: Postanastomotic transplant renal artery stenosis: association with de novo class II donor-specific antibodies. Am J Transplant. 14(1):133-43, 2014