Treatment of Renal Artery Atherosclerosis in Kidney Transplant Recipients with Transplant Renal Artery Stenosis

Clinical Scenario

This protocol addresses renal artery atherosclerosis occurring in the context of a kidney transplant, specifically involving transplant renal artery stenosis (TRAS) — a recognised vascular complication in transplant recipients that can affect graft perfusion and function.

Patient Population

Kidney transplant recipients presenting with renal artery atherosclerosis affecting the transplant vasculature, whether symptomatic or asymptomatic, in whom transplant renal artery stenosis has been identified.

Management Approach

The structured protocol for this scenario involves a surgical revascularization approach targeting the transplant renal artery. The complete regimen — including the specific indications, procedural considerations, and the clinical decision pathway — is detailed in the full protocol.

Full algorithm and evidence-based details available via the link below.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1053/j.ajkd.2021.06.025

Kidney transplant with RAS (symptomatic or asymptomatic)
Surgical revascularization is currently limited to transplant RAS not amenable to angioplasty or after failure of endovascular treatment.

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