Renal artery stenosis is the most common vascular complication in transplantation, reported in up to 10% of patients. Potential causes include recipient artery arteriosclerosis, donor artery atherosclerosis, renal artery kinking, surgical arterial injury, faulty surgical technique, rejection, and clamp injury. Percutaneous transluminal angioplasty and stenting is the treatment of choice.10 Surgical intervention is required in difficult cases. Intra-operative haemostasis is vital during the initial surgery. If bleeding is encountered while fashioning the anastomoses and extra suturing is required, stenosis can be iatro-genically induced and cause future chronic problems.
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