In this study, three cases have been reported of renal transplant vein thro
mbosis, which is a rare complication associated with renal transplant. The
positive diagnosis is frequently made at a later date, and is established b
y Doppler ultrasonography. The prognosis is poor. Only an early diagnosis a
nd immediate surgical investigation can possibly save the transplant. To re
duce the incidence of renal transplant vein thrombosis, donors should be ca
refully screened for potential risk factors; the transplant technique shoul
d be completely mastered; and postoperative anticoagulant treatment, includ
ing further studies in this regard, may help to prevent this complication i
n at-risk patients. At present, however, the graft generally has to be remo
ved. (C) 2001 Editions scientifiques et medicales Elsevier SAS.