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James A. Majeski, PhD, MD; Rino Munda, MD

Arch Surg. 1981;116(9):1225-1226.

Abstract
• Percutaneous transluminal dilation of a transplant renal artery was attempted in a patient. The renal artery was perforated by the balloon catheter during the procedure. Despite prompt surgical intervention, the kidney was lost because of irreversible ischemia. This experience is a warning that irreversible ischemia can occur with a transplant kidney if an occlusive complication occurs after percutaneous transluminal dilation. Since the warm ischemic time can exceed the surgical approach and repair, the renal transplant can be lost, and treatment of the patient will resume with long-term hemodialysis. Surgical correction is a more predictable method, which still must be considered as the treatment of a renal allograft artery stenosis.

(Arch Surg 1981;116:1225-1226)

Author Affiliations
From the Department of Surgery, University of Cincinnati Medical Center. Dr Majeski is now with the Medical University of South Carolina, Charleston.

Footnotes
Accepted for publication April 21, 1981.

Reprint requests to Department of Surgery, Medical University of South Carolina, Charleston, SC 29401 (Dr Majeski).

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