ASN's Mission

To create a world without kidney diseases, the ASN Alliance for Kidney Health elevates care by educating and informing, driving breakthroughs and innovation, and advocating for policies that create transformative changes in kidney medicine throughout the world.

learn more

Contact ASN

1401 H St, NW, Ste 900, Washington, DC 20005

email@asn-online.org

202-640-4660

The Latest on X

Kidney Week

Abstract: SA-PO0140

Intracranial Aneurysm Characteristics in Patients with PKD and Other Kidney Transplant Recipients

Session Information

Category: Genetic Diseases of the Kidneys

  • 1201 Genetic Diseases of the Kidneys: Cystic (Monogenic)

Authors

  • Irfan, Rayan, UW School of Medicine and Public Health, Seattle, Washington, United States
  • Bhutani, Gauri, UW School of Medicine and Public Health, Seattle, Washington, United States
  • Astor, Brad C., UW School of Medicine and Public Health, Seattle, Washington, United States
Background

The need for intracranial aneurysm (ICA) screening in polycystic kidney disease (PKD) patients following kidney transplant (tx) requires further clarification.

Methods

The Wisconsin Allograft Recipient Database (WisARD), between 1/1/1994-12/31/2021, was queried for terms including “cerebral aneurysm” and “cerebral aneurysm rupture” to identify potential “PKD” and “Other” (non-PKD) kidney tx recipients (KTRs) who may have history of ICA and/or ICA rupture. A chart review was conducted to further delineate ICA related history, and risk factors for ICA.

Results

Our preliminary analysis confirmed 29 PKD and 15 Other KTR’s with ICAs. Notably, in PKD KTRs, ICAs were most likely to be identified pre-tx (72%), but 24% (7/29) had ICA diagnosed in the post-tx setting. ICA rupture occurred in 24% (7/29) of PKD KTRs with similar frequency in both pre- and post-transplant (43% [3/7] each).

Conclusion

PKD KTRs can have ICA rupture post-transplantation and thus a post-transplant ICA screening strategy should be investigated in a prospective manner.

Intracranial aneurysm characteristics in PKD and other Kidney Transplant recipients