Saudi Journal of Kidney Diseases and Transplantation

RENAL DATA FROM THE ARAB WORLD
Year
: 2008  |  Volume : 19  |  Issue : 2  |  Page : 256--259

Hypertension in Related Living Donor Renal Allograft Recipients


Tarik Houssaini Sqalli, Asmaa Laboudi, Mouna Faik, Loubna Benamar, Yamama Amar, Naima Ouzeddoun, Rabea Bayahia, Hakima Rhou 
 Service de Néphrologie, Hôpital Ibn Sina , Chu Rabat, Maroc

Correspondence Address:
Tarik Houssaini Sqalli
Service d«SQ»hémodialyse, Batiment 5, Hôpital Al Ghassani, Fès, Maroc

Cardiovascular morbidity and mortality are extremely high in all stages of renal failure. Arterial hypertension remains a major problem even after renal transplantation. We studied retrospectively the hypertension patterns in recipients of renal allografts from living donors from January 1998 to December 2004. The mean age of the patients was 29.3 ± 9.4 (range 13 - 54) years, with a male predominance (62%). Among 42 of the study patients, 40 (95%) were hypertensive at 3 months after transplantation with a slightly decreasing prevalence at 6 and 12 months to 84% and 85%, respectively. During dialysis period, 59.5% of the patients were hypertensive. The allografts were left kidneys with only one artery in 40 patients and right kidneys with 2 arteries in 2 patients. Graft renal artery stenosis (RAS) was documented by Doppler ultrasound in 13 (32.5%) cases. Three patients improved following transluminal angioplasty with stenting. The control of the hypertension required the use of at least two anti­hypertensive drugs in 56% of patients. On an average follow-up of 30 (1 - 78) months, no cardio­vascular event was reported and all the allografts remained functional. We conclude that hypertension is prevalent in the living renal allografts recipients. The etiology is multifactorial and careful management is mandatory to protect the renal function and the cardiovascular system.


How to cite this article:
Sqalli TH, Laboudi A, Faik M, Benamar L, Amar Y, Ouzeddoun N, Bayahia R, Rhou H. Hypertension in Related Living Donor Renal Allograft Recipients.Saudi J Kidney Dis Transpl 2008;19:256-259


How to cite this URL:
Sqalli TH, Laboudi A, Faik M, Benamar L, Amar Y, Ouzeddoun N, Bayahia R, Rhou H. Hypertension in Related Living Donor Renal Allograft Recipients. Saudi J Kidney Dis Transpl [serial online] 2008 [cited 2020 Feb 27 ];19:256-259
Available from: http://www.sjkdt.org/article.asp?issn=1319-2442;year=2008;volume=19;issue=2;spage=256;epage=259;aulast=Sqalli;type=0