title: Endovascular management of renal transplant dysfunction secondary to hemodynamic effects related to ipsilateral femoral arteriovenous graft.
abstract: Hemodialysis access options become complex in long-term treatment for patients with renal disease, while awaiting renal transplantation (RT). Once upper extremity sites are exhausted, lower extremities are used. RT is preferably in the contralateral iliac fossa, rarely ipsilateral. In current literature, RT dysfunction secondary to the hemodynamic effects of an ipsilateral femoral arteriovenous graft (AVG) has been rarely described. To our knowledge, AVG ligation is the only published technique for hemodynamic correction of an ipsilateral AVG. We present a simple, potentially reversible endovascular approach to manage the hemodynamic effects of an AVG, without potentially permanently losing future AVG access.
authors.affiliation: Department of Interventional Radiology, Jackson Memorial Hospital/University of Miami Hospital, Miami, Florida, USA. kpereira@med.miami.edu.
authors.forename: Jason
authors.initials: J
authors.lastname: Salsamendi
authors.forename: Keith
authors.initials: K
authors.lastname: Pereira
authors.forename: David
authors.initials: D
authors.lastname: Quintana
authors.forename: Drew
authors.initials: D
authors.lastname: Bleicher
authors.forename: Marwan
authors.initials: M
authors.lastname: Tabbara
authors.forename: Michael
authors.initials: M
authors.lastname: Goldstein
authors.forename: Govindarajan
authors.initials: G
authors.lastname: Narayanan
mesh_terms: D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005263:Femoral Artery / Q000637:transplantation*; D006439:Hemodynamics; D006801:Humans; D016030:Kidney Transplantation; D007866:Leg / Q000098:blood supply; D016896:Treatment Outcome; D055815:Young Adult