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 |
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Elsevier
2023-09-01
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| Series: | Transplantation Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S245195962300015X |
| _version_ | 1797740504554668032 |
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| author | Scarlett B. Hao Miguel Arasa Vaishnavi Siripurapu David B. Leeser Margaret M. Romine |
| author_facet | Scarlett B. Hao Miguel Arasa Vaishnavi Siripurapu David B. Leeser Margaret M. Romine |
| author_sort | Scarlett B. Hao |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T14:13:21Z |
| format | Article |
| id | doaj.art-281901ea864d46a5a25f784df01b6e94 |
| institution | Directory Open Access Journal |
| issn | 2451-9596 |
| language | English |
| last_indexed | 2024-03-12T14:13:21Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Transplantation Reports |
| spelling | doaj.art-281901ea864d46a5a25f784df01b6e942023-08-21T04:20:24ZengElsevierTransplantation Reports2451-95962023-09-0183100140Improved renal allograft function with dialysis access ligation to reduce venous hypertensionScarlett B. Hao0Miguel Arasa1Vaishnavi Siripurapu2David B. Leeser3Margaret M. Romine4Department of Surgery, Brody School of Medicine at East Carolina University, Greenville, NCDepartment of Surgery, Brody School of Medicine at East Carolina University, Greenville, NCBrody School of Medicine at East Carolina University, Greenville, NCDivision of Transplant, Department of Surgery, Brody School of Medicine at East Carolina University, Greenville, NCDivision of Transplant, Department of Surgery, Brody School of Medicine at East Carolina University, Greenville, NC; Corresponding author at: Clinical Assistant Professor, Division of Surgical Immunology and Transplantation, Department of Surgery, Brody School of Medicine at East Carolina University, 2100 Stantonsburg Road, Greenville, NC 27834.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.http://www.sciencedirect.com/science/article/pii/S245195962300015XKidney transplantationRenal dialysisArteriovenous fistulaDelayed graft function etiology |
| spellingShingle | Scarlett B. Hao Miguel Arasa Vaishnavi Siripurapu David B. Leeser Margaret M. Romine Improved renal allograft function with dialysis access ligation to reduce venous hypertension Transplantation Reports Kidney transplantation Renal dialysis Arteriovenous fistula Delayed graft function etiology |
| title | Improved renal allograft function with dialysis access ligation to reduce venous hypertension |
| title_full | Improved renal allograft function with dialysis access ligation to reduce venous hypertension |
| title_fullStr | Improved renal allograft function with dialysis access ligation to reduce venous hypertension |
| title_full_unstemmed | Improved renal allograft function with dialysis access ligation to reduce venous hypertension |
| title_short | Improved renal allograft function with dialysis access ligation to reduce venous hypertension |
| title_sort | improved renal allograft function with dialysis access ligation to reduce venous hypertension |
| topic | Kidney transplantation Renal dialysis Arteriovenous fistula Delayed graft function etiology |
| url | http://www.sciencedirect.com/science/article/pii/S245195962300015X |
| work_keys_str_mv | AT scarlettbhao improvedrenalallograftfunctionwithdialysisaccessligationtoreducevenoushypertension AT miguelarasa improvedrenalallograftfunctionwithdialysisaccessligationtoreducevenoushypertension AT vaishnavisiripurapu improvedrenalallograftfunctionwithdialysisaccessligationtoreducevenoushypertension AT davidbleeser improvedrenalallograftfunctionwithdialysisaccessligationtoreducevenoushypertension AT margaretmromine improvedrenalallograftfunctionwithdialysisaccessligationtoreducevenoushypertension |