Outcome of Kidney Allografts in Recipients With a Femoral Arteriovenous Fistula: Report of Two Cases.
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.
Department of Surgery, Division of Vascular and Transplant Surgery, Radboudumc, Nijmegen, The Netherlands.
Denise M D
DM
Özdemir-van Brunschot
Department of Nephrology, Radboudumc, Nijmegen, The Netherlands.
Ruud G L
RG
de Sévaux
Department of Nephrology, Radboudumc, Nijmegen, The Netherlands.
Henk W
HW
van Hamersvelt
Department of Surgery, Division of Vascular and Transplant Surgery, Radboudumc, Nijmegen, The Netherlands.
Michiel C
MC
Warlé
Femoral arteriovenous shunt; Renal transplantation; Steal; Vascular steal