RT info:eu-repo/semantics/article T1 Peripheral vascular disease and kidney transplant outcomes: Rethinking an important ongoing complication A1 Hernández Marrero, Domingo Jerónimo A1 Vázquez, Teresa A1 Armas Padrón, Ana María A1 Alonso Titos, Juana A1 Casas, Cristina A1 Gutiérrez, Elena A1 Jironda, Cristina A1 Cabello, Mercedes A1 López, Verónica A2 Medicina InternaDermatología y Psiquiatría K1 Peripheral vascular disease K1 Kidney transplant AB Peripheral vascular disease (PVD) is highly prevalent in patients on the waiting list for kidney transplantation (KT) and after transplantation and is associated with impaired transplant outcomes. Multiple traditional and nontraditional risk factors, as well as uremia- and transplant-related factors, affect 2 processes that can coexist, atherosclerosis and arteriosclerosis, leading to PVD. Some pathogenic mechanisms, such as inflammation-related endothelial dysfunction, mineral metabolism disorders, lipid alterations, or diabetic status, may contribute to the development and progression of PVD. Early detection of PVD before and after KT, better understanding of the mechanisms of vascular damage, and application of suitable therapeutic approaches could all minimize the impact of PVD on transplant outcomes. This review focuses on the following issues: (1) definition, epidemiological data, diagnosis, risk factors, and pathogenic mechanisms in KT candidates and recipients; (2) adverse clinical consequences and outcomes; and (3) classical and new therapeutic approaches. SN 1534-6080 YR 2021 FD 2021 LK http://riull.ull.es/xmlui/handle/915/39728 UL http://riull.ull.es/xmlui/handle/915/39728 LA en DS Repositorio institucional de la Universidad de La Laguna RD 13-nov-2025