Acute Cardiorenal Syndrome by High Flow Arteriovenous Fistula after Kidney Transplantation. Issue 4 (October 2013)

• Record Type: Journal Article
• Authors: Nickel, Peter; Gül, Safak; Puhl, Gero; Poellinger, Alexander; Schindler, Ralf
• Is Part Of: Journal of vascular access. Volume 14:Issue 4(2013)
• Page Start: 394
• Page End: 396
• Publication Date: 2013-10
• Subjects: Cardiorenal syndrome -- High flow fistula -- Kidney transplantation; Arterial catheterization -- Periodicals; Intravenous catheterization -- Periodicals; 612.13
• DOI: 10.5301/jva.5000154
• Languages: English
• ISSNs: 1129-7298

Abstract

Purpose: The aim of this work was to increase recognition of high flow arteriovenous fistulas in kidney transplant patients. Case: Here, we report the case of a 22-year-old man with repeated hospitalizations for cardiomegaly and chronic pericardial effusion after kidney transplantation. Eventually, high flow of his arteriovenous fistula was recognized 5.5 years after transplantation when he developed acute cardiorenal syndrome. Access flow reduction markedly improved kidney graft function along with reversion of cardiomegaly, which was impressively demonstrated by follow-up chest-x-rays. Conclusion: Arteriovenous fistulas should be monitored regularly after kidney transplantation to avoid congestive heart failure and other serious complications.