Figure 1319

Transplant renal artery stenosis (TRAS). TRAS accounts for less than 5% of cases of hypertension after transplantation. Nonetheless, TRAS should always be considered in patients with refractory hypertension who develop renal insufficiency after addition of an ACEI to the therapeutic regimen. Although noninvasive studies (such as a renal scan with captopril) may be helpful in diagnosing TRAS, angiography remains the gold standard for diagnosis. Revascularization of the allograft by either surgical or angioplastic techniques may improve renal function and ameliorate hypertension [33,34].

Blood Pressure Health

Blood Pressure Health

Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

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