Improved renal allograft function with dialysis access ligation to reduce venous hypertension
The management of dialysis access in patients undergoing renal transplantation remains variable. We report a case series of renal transplant recipients with impaired postoperative allograft function, which improved after ligation of their unused vascular access. The first and third patient had contr...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-09-01
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| Series: | Transplantation Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S245195962300015X |
| Summary: | The management of dialysis access in patients undergoing renal transplantation remains variable. We report a case series of renal transplant recipients with impaired postoperative allograft function, which improved after ligation of their unused vascular access. The first and third patient had contralateral femoral fistulae while the second patient had an ipsilateral upper extremity fistula. All three patients had radiographic imaging suggestive of venous outflow obstruction secondary to venous hypertension caused by the fistula. While more data is necessary to inform best practice, early recognition of fistula-related impairments of allograft function is essential to achieving best outcomes for renal transplant patients. |
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| ISSN: | 2451-9596 |