{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T09:07:03Z","timestamp":1788858423408,"version":"build-2803163510"},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Transplant renal artery stenosis (TRAS) is a potentially reversible vascular complication after kidney transplantation and an important cause of graft dysfunction in children. It usually presents with hypertension and\/or impaired graft function but may occasionally remain clinically silent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>We report an 11\u2010year\u2010old girl with cystinosis who underwent living\u2010donor kidney transplantation outside our national, regulated transplant program and was referred to our center for follow\u2010up. Early post\u2010transplant Doppler ultrasonography was normal. At 10\u2009weeks post\u2010transplant, she developed an asymptomatic but severe rise in serum creatinine without hypertension. Imaging revealed a short, focal stenosis at the arterial anastomosis. Percutaneous transluminal angioplasty was successfully performed, followed by short\u2010term anticoagulation and antiplatelet therapy, with rapid and sustained recovery of graft function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case highlights that TRAS may present without hypertension and underscores the importance of careful surveillance, particularly in children transplanted outside regulated transplant programs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/petr.70372","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T11:41:27Z","timestamp":1781523687000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Silent but Severe: Transplant Renal Artery Stenosis Causing Acute Graft Dysfunction in a Child With Cystinosis"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6277-1458","authenticated-orcid":false,"given":"T\u00fclay","family":"Becerir","sequence":"first","affiliation":[{"name":"Department of Pediatric Nephrology Pamukkale University School of Medicine  Denizli Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2881-9435","authenticated-orcid":false,"given":"\u00dcmm\u00fchan Seda","family":"Alt\u0131nta\u015f","sequence":"additional","affiliation":[{"name":"Department of Pediatric Nephrology Pamukkale University School of Medicine  Denizli Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2617-4466","authenticated-orcid":false,"given":"\u0130lknur","family":"Giri\u015fgen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Nephrology Pamukkale University School of Medicine  Denizli Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8255-9731","authenticated-orcid":false,"given":"Mira\u00e7 Burak","family":"Kabukcuo\u011flu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Nephrology Pamukkale University School of Medicine  Denizli Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4983-1860","authenticated-orcid":false,"given":"P\u0131nar","family":"K\u0131l\u0131\u00e7","sequence":"additional","affiliation":[{"name":"Department of Pediatric Nephrology Pamukkale University School of Medicine  Denizli Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5565-0770","authenticated-orcid":false,"given":"Muhammet","family":"Arslan","sequence":"additional","affiliation":[{"name":"Department of Radiology Pamukkale University School of Medicine  Denizli Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467\u2010004\u20101656\u20100"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.219.3.r01jn30663"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.asn.0000099379.61001.f8"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467\u2010013\u20102681\u20107.5"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467\u2010021\u201005253\u2010y"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20106143.2005.01109.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOT.0000000000001108"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.2471\/blt.06.039370"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000002541"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2014.07.020"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.trim.2024.101993"}],"container-title":["Pediatric 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