Biopsy Induced Arteriovenous Fistula and Venous Stenosis in a Renal Transplant. (25th August 2015)

• Record Type: Journal Article
• Authors: Allam, Sridhar R.; Sankarapandian, Balamurugan; Memon, Imran A.; Nef, Patrick C.; Livingston, Tom S.; Rofaiel, George
• Other Names: Kazancioglu Rumeyza Academic Editor.
• Is Part Of: Case reports in nephrology. Volume 2015(2015)
• Publication Date: 2015-08-25
• Subjects: Nephrology -- Periodicals; Kidneys -- Diseases -- Periodicals; Nephrology; Kidneys -- Diseases; Nephrology; Periodicals; Electronic journals; Periodicals; 616.61
• DOI: 10.1155/2015/313610
• Languages: English
• ISSNs: 2090-6641

Abstract

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.