Transplant Renal Vein Thrombosis


KEY FACTS

Imaging

  • Enlarged, edematous, hypoechoic kidney due to outflow obstruction

  • Absence or decreased color flow in renal vein at hilum

  • Patent renal artery early, later renal artery will thrombose also

  • High systolic arterial peaks with flow reversal in diastole

  • Color, power, spectral Doppler US is 1st-line imaging modality for complications of renal transplantation

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