Saudi J Kidney Dis Transpl 2008;19(2):256-259 Saudi Journal of Kidney Diseases and Transplantation © 2008 Saudi Center for Organ Transplantation Renal Data from the Arab World 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. ABSTRACT. 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 anti- hypertensive drugs in 56% of patients. On an average follow-up of 30 (1 - 78) months, no cardio- vascular 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. Keywords: Renal, Transplantation, Hypertension, Living, Donors, Angioplasty Introduction Patients with renal insufficiency requiring renal dialysis or kidney transplantation are exposed to a high cardiovascular morbidity and mortality rates. Hypertension, with a prevalence range from 34 to 78%, remains a major medical and therapeutic problem after renal transplantation. Its most frequent causes include frequent use of corticosteroids and calcineurin-inhibitors, allograft renal artery stenosis, allograft dysfunction, and native kidneys abnormalities. Reprint request and correspondence to Tarik Houssaini Sqalli, M.D. Service d'hémodialyse Batiment 5, Hôpital Al Ghassani Fès, Maroc. E-mail: tariksqalli@hotmail.com [Downloaded free from http://www.sjkdt.org on Sunday, July 26, 2015, IP: 41.249.97.38]