Restoration of renal allograft function by endovascular stenting of an iliac artery dissection.

Dissection of the external iliac artery is a very rare complication following transplantation of a renal allograft. Two cases have been described by Merkus et al. [1], which were related to previous trauma. Esteban et al. [2] reported non-traumatic dissection of the external iliac artery in a patient, which was successfully treated by Strecker stent insertion. In a series of 90 living related kidney transplants, Palestini and co-workers described one patient with an iliac artery dissection out of 90 consecutive living related kidney recipients [3]. We report a case of very early external iliac artery dissection causing acute loss of allograft perfusion. Allograft perfusion was restored by intravascular Perflex stent insertion.