The most important and most common complications are acute rejection, acute tubular necrosis, renal artery thrombosis
, renal vein thrombosis, perinephric fluid collections, urinary obstruction, renal artery stenosis, aneurysmal dilatation of the renal artery, arteriovenous fistula, and chronic rejection.
If spontaneous renal artery thrombosis
is not diagnosed early and is not treated properly, it results in renal insufficiency due to renal infarction.
Patient Complications 1 Immediate renal artery thrombosis
necessitating retransplantation of the kidney in the contralateral iliac fossa 2 Urinary infection 3 None 4 Acute tubular necrosis, pneumonia 5 Intestinal occlusion medically resolved 6 Urinary infection 7 None 8 Urinary infection 9 None
Successful percutaneous renal intervention in a patient with acute traumatic renal artery thrombosis
. Circulation 2006; 114:e583-585.
Spontaneous renal artery thrombosis
without any obvious underlying cause in an otherwise healthy patient is rare.
The constellation of findings was concerning for renal artery thrombosis
and impending infarct.
It has been reported that, in the setting of renal artery thrombosis
, there may be a great variability in laboratory values depending on the number and size of segmental arteries affected, the intensity of ischemic injury, the time of development, and the presence of collateral circulation.
Postoperative complications recorded included renal artery thrombosis
, renal vein thrombosis, ureteric leak or stenosis, reoperation for bleeding, or any other event requiring reoperation.
Late allograft thrombosis has been defined as occurring later than 14 days postoperatively, but rarely renal artery thrombosis
may develop a few months post-transplantation13.
Although it most commonly develops due to renal artery thrombosis
, it may also be caused by an array of factors.
Gambari, "Renal artery thrombosis
and hypertension in a 13 year old girl with antiphospholipid syndrome," Annals of the Rheumatic Diseases, vol.
In this case of acute renal artery thrombosis
, restoration of diuresis was achieved within 8 hours after beginning of thrombolytic therapy.