Angiography of transplanted kidney

Lee, Y I; Bahk, Y W; Shinn, K S; Park, H K

Abstract

Selective angiography of transplanted kidney in recipient is the unique procedure to detect renal rejection,obstruction or stenosis of anastomotic site of renal artery and vein, renal venous thrombosis, and other renalcomplications. The materials consists of the transplanted kidneys in 6 patients who have been performed selectivecommon or internal iliac angiography through the contralateral femoral catheterization between March 23, 1975 andjuly 27, 1976 at St. Mary's Hospital, Catholic Medical College. The patients are between 21 and 53 year old men.The clinical and postoperative pathologic diagnosis in the recipients prior to transplantation are 4 cases ofchronic glomerulonephritis and 2 cases of chronic pyelonephritis. The transplanted kidneys in 6 recipients arediagnosed angiographically 1 case of hyperacute rejection, 2 cases of acute rejection, 2 cases of chronicrejection and 1 case of occlusion of two polar arteries with edema. Final pathologic diagnoses of transplantedkidneys by biopsy are same as those of angiographic diagnoses except for Case 1 (acute rejection) The angiographyof the transplanted kidney is the greatest value in evaluation of renal vascular system, infarction, anddifferentiation of renal rejections.