Kidney Res Clin Pract.  2014 Dec;33(4):217-221. 10.1016/j.krcp.2014.08.004.

Ipsilateral leg swelling after renal transplantation as an alarming sign of Iliac vein stenosis

• Kim JH
• Bae SM
• Park SK

• KMID: 2224264
• DOI: http://doi.org/10.1016/j.krcp.2014.08.004

Abstract

Iliac vein stenosis is a rare vascular complication of renal transplantation that may compromise allograft function if not recognized and corrected in a timely fashion. Because chronic venous stenosis may remain undiagnosed for several years, a high index of suspicion should be maintained until diagnosing this rare disease. A 56-year-old renal transplant recipient presented with unilateral leg swelling and renal dysfunction 16 years after transplantation. Computed tomography excluded deep vein thrombosis and revealed tight iliac vein stenosis on the side of the renal transplant. Following angiographic confirmation of the stenosis, endovascular treatment was successfully performed with a purposefully designed, self-expanding, venous stent. Ipsilateral leg swelling is an alarming sign for the diagnosis of iliac vein stenosis after renal transplantation. Percutaneous intervention with venous stent placement seems to be a safe and effective treatment of this rare condition.

Keyword

Iliac vein compression syndrome; Kidney transplantation; Percutaneous transluminal angioplasty; Venous insufficiency

MeSH Terms

Allografts
Angioplasty
Constriction, Pathologic*
Diagnosis
Humans
Iliac Vein*
Kidney Transplantation*
Leg*
May-Thurner Syndrome
Middle Aged
Rare Diseases
Stents
Transplantation
Venous Insufficiency
Venous Thrombosis