Biopsy Induced Arteriovenous Fistula and Venous Stenosis in a Renal Transplant.
Publication/Presentation Date
1-1-2015
Abstract
Renal transplant vein stenosis is a rare cause of allograft dysfunction. Percutaneous stenting appears to be safe and effective treatment for this condition. A 56-year-old Caucasian female with end stage renal disease received a deceased donor renal transplant. After transplant, her serum creatinine improved to a nadir of 1.2 mg/dL. During the third posttransplant month, her serum creatinine increased to 2.2 mg/dL. Renal transplant biopsy showed BK nephropathy. Mycophenolate was discontinued. Over the next 2 months, her serum creatinine crept up to 6.2 mg/dL. BK viremia improved from 36464 copies/mL to 15398 copies/mL. A renal transplant ultrasound showed lower pole arteriovenous fistula and abnormal waveforms in the renal vein. Carbon dioxide (CO2) angiography demonstrated severe stenosis of the transplant renal vein. Successful coil occlusion of fistula was performed along with angioplasty and deployment of stent in the renal transplant vein. Serum creatinine improved to 1.5 mg/dL after.
Volume
2015
First Page
313610
Last Page
313610
ISSN
2090-6641
Published In/Presented At
Allam, S. R., Sankarapandian, B., Memon, I. A., Nef, P. C., Livingston, T. S., & Rofaiel, G. (2015). Biopsy Induced Arteriovenous Fistula and Venous Stenosis in a Renal Transplant. Case reports in nephrology, 2015, 313610. https://doi.org/10.1155/2015/313610
Disciplines
Medicine and Health Sciences
PubMedID
26380130
Department(s)
Department of Surgery
Document Type
Article