Outcome of Kidney Allografts in Recipients With a Femoral Arteriovenous Fistula: Report of Two Cases

Publication date: September 2016 Source:Urology Case Reports, Volume 8 Author(s): Denise M.D. Özdemir-van Brunschot, Ruud G.L. de Sévaux, Henk W. van Hamersvelt, Michiel C. Warlé Two patients, who were on hemodialysis over a femoral arteriovenous fistula, were transplanted in our center. Despite adequate blood pressure, perfusion of the renal allograft remained poor after completion of the vascular anastomoses. Ligation of the femoral arteriovenous fistula (1.6 L/min) led to adequate perfusion. Initial graft function was good. Although it remains unclear whether ischemia of a renal allograft is caused by venous hypertension or vascular steal due to a femoral arteriovenous fistula, it might be necessary to ligate a femoral arteriovenous fistula to obtain adequate graft perfusion.
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research