Background: Renal artery stenosis is the most common surgical complication after renal transplantation. RT stenosis of the iliac artery presents in a similar way. Interventional techniques can salvage the graft in most cases.
Case Report: We report a renal transplant recipient who developed acute ischemic graft failure due to thrombosis of a previously stented iliac artery. He was successfully treated with mechanical thrombectomy and re-stenting. By this, we were able to salvage the graft with good long-term function.
Conclusions: To the best of our knowledge this is the first case of restenting of an iliac artery in the setting of RT. Interventional radiology should be the approach in such cases.

Keywords: renal transplant, Ischemia, Iliac Artery Stenosis, stent, Angioplasty