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NDT Advance Access originally published online on March 30, 2006
Nephrology Dialysis Transplantation 2006 21(9):2644-2646; doi:10.1093/ndt/gfl130
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© The Author [2006]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Case Report

Compromise of renal transplant blood flow by an arteriovenous graft

Emily Symington1, Behdad Afzali2, Iain MacPhee1 and Eric S. Chemla1

1 South West Thames Renal Transplant Network, St Helier and St George's Hospitals and 2 Department of Nephrology and Transplantation, Guy's Hospital, London, UK

Correspondence and offprint requests to: Mr Eric Chemla FRCS, Consultant Transplant Surgeon, Department of Renal Medicine and Transplantation, St George's Hospital, Blackshaw Road, Tooting, London, SW17 0QT, United Kingdom.Email: eric.chemla@stgeorges.nhs.uk

Keywords: arteriovenous graft; renal transplant; thrombosis

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   Case report
 
A 61-year-old male developed end-stage renal failure in January 1994, with a presumptive diagnosis of hypertensive nephrosclerosis but no renal biopsy, and commenced peritoneal dialysis which failed in April 1996, requiring a change to haemodialysis via a left subclavian tunnelled venous line. A succession of arteriovenous fistulae (AVFs) was formed in both arms but by August 2004, native AVFs and anatomical arteriovenous grafts (AVGs) exhausted. He required placement of a series of central venous cannulae, complicated by complete superior vena cava obstruction. A subcutaneous right axillary artery to popliteal vein Poly Tetra Fluoro Ethylene AVG was formed in August 2004 and he was anticoagulated . . . [Full Text of this Article]



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