Figure 1214

Cerebral vascular disease (CVD). Patients must not undergo surgery within 6 months of a stroke or transient ischemic attack (TIA). Asymptomatic patients with a carotid bruit should be considered for carotid ultrasonography because patients with severe carotid disease may be candidates for prophylactic surgery. Patients with autosomal dominant polycystic kidney disease (ADPKD) and either a previous episode or a positive family history of a ruptured intracranial aneurysm must be screened with computed tomography or magnetic resonance imaging. Patients found to have an aneurysm over 7 mm in diameter may benefit from prophylactic surgery. (From Kasiske and coworkers [1]; with permission.)

Evaluation of PVP in recipients

PVD unresponsive to conservative management?

PVD unresponsive to conservative management?

Consider invasive intervention

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