all you need to know about renal angiograms

Dear Reader -

This is what you need to know about renal angiography and angioplasty in a transplanted kidney**.

A renal angiogram involves the insertion of a long, thin tube into the femoral artery (in the groin). The tube is then guided up through the femoral artery where it will reach the area where the transplanted kidney is connected to the artery.

A radioactive (X-Ray) dye is then inserted from the tube into the artery so that the X-Ray equipment can detect the movement of the blood/fluid throughout the blood vessels. If it is noted that there is significant loss or constriction of blood flow to the kidney, an angioplasty can then be performed.

A renal angioplasty involves inserting a small balloon-like object through the tube into the constricted blood vessel/artery. The balloon is then equipped to expand and thus open said blood vessel/artery so that adequate blood flow to the kidney can then be resumed. If necessary, a stent (which is a metal or plastic tube-like balloon) can be place into the blood vessel/artery permanently to prevent it from becoming constricted again.

**PS - I am not a doctor. I repeat...I am not a doctor! So please do not quote me. Please.

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This is what Joe is getting done today.

A couple months ago when Joe had his yearly post-transplant ultrasound and biopsy, the ultrasound showed possible narrowing of the artery/blood vessels supplying blood to his new kidney. So he is getting the angiogram done today and, if there is significant enough narrowing, they will do the angioplasty and possible stent placement to maintain unconstricted blood flow to the kidney.

I must say that I just plain hate hospitals. I know they help sustain life and, come August, will help deliver a new little life into our arms. But I just hate hospitals. And even though Joe has spent enough time in hospitals, it still doesn't make it easier when we have to come back. I know he prefers to stay away from hospitals as much as he can and would probably rather watch paint dry than have to go through a procedure, but he's a champ. He's a real trooper. And I am proud of him!

His doctor for the procedure is super nice and this seems like a really good hospital. So I know he's in good hands. But I just can't wait for this day to be over...