Treatment of Renal Artery Atherosclerosis in Kidney Transplant — Transplant Renal Artery Stenosis
Renal artery atherosclerosis in kidney transplant recipients can manifest as transplant renal artery stenosis (transplant RAS), a recognised vascular complication that warrants a specific treatment approach distinct from native renal artery disease.
Kidney transplant recipient presenting with transplant renal artery stenosis — whether symptomatic or asymptomatic. This scenario applies to patients with a history of kidney transplantation who develop significant stenosis at or near the transplant renal artery.
The primary treatment is endovascular, targeting the stenotic transplant artery directly. Balloon angioplasty forms the basis of intervention, with additional measures reserved for selected cases where initial treatment alone is insufficient.