Transplant renal artery stenosis: Evaluation with duplex sonography

J. F. Snider, D. W. Hunter, G. P. Moradian, W. R. Castaneda-Zuniga, J. G. Letourneau

Research output: Contribution to journalArticlepeer-review

75 Scopus citations

Abstract

Determination of the cause of hypertension in renal transplant recipients has required invasive studies such as angiography. Consequently there has been recent interest in noninvasive evaluation. Over a 19-month period, duplex sonography was performed on the renal transplant vasculature in 31 allograft recipients who also underwent correlative arteriography. One patient underwent a repeat duplex study and arteriography after surgical repair. On the basis that a frequency shift greater than 7.5 kHz and associated distal turbulence indicate stenosis, 18 duplex sonographic studies were considered positive. Subsequent angiography showed renal artery stenosis in 16 patients and no significant lesion in two. In 14 patients Doppler studies were interpreted as normal; angiography showed no significant arterial abnormality in 13 and significant stenosis in one. These results indicate a sensitivity of 94.1% and specificity of 86.7% for duplex sonography in the diagnosis of transplant renal arterey stenosis. Duplex sonography appears to be an excellent noninvasive screening method to evaluate arterial stenosis following renal transplantation.

Original languageEnglish (US)
Pages (from-to)1027-1030
Number of pages4
JournalRadiology
Volume172
Issue number3 II
DOIs
StatePublished - 1989

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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