alexa Arteriovenous Fistulae and Steal Syndrome Complicating Renal Allograft Biopsies. A Report of Two Cases
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

Arteriovenous Fistulae and Steal Syndrome Complicating Renal Allograft Biopsies. A Report of Two Cases

Ramessur Chandran Sharmila1*, Mulley William1,2, Holt Michael3, Burnes James3 and Kanellis John1,2
1Department of Nephrology, Monash Medical Centre, Clayton, Australia
2Department of Medicine, Monash University, Clayton, Australia
3Southern Health Diagnostic Imaging, Monash Medical Centre, Clayton, Australia
Corresponding Author : Sharmila Ramessur Chandran
Department of Nephrology
Monash Medical Centre, Clayton, Australia
E-mail: [email protected]
Received August 31, 2012; Accepted September 17, 2012; Published September 19, 2012
Citation: Ramessur Chandran S, Mulley W, Holt M, Burnes J, Kanellis J (2012) Arteriovenous Fistulae and Steal Syndrome Complicating Renal Allograft Biopsies. A Report of Two Cases. J Clin Case Rep 2:202. doi:10.4172/2165-7920.1000202
Copyright: © 2012 Ramessur Chandran S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Background: Biopsy-related kidney transplants Arteriovenous Fistulae (AVF) are common. Most resolve spontaneously but rarely are they complicated by graft dysfunction. We describe 2 such cases of AVF occurring post renal allograft biopsy. Case reports: A 33 year old lady had multiple biopsies of her renal allograft due to ongoing rejection. Her renal function worsened and a 1.3 cm AVF was diagnosed on Doppler Ultrasound. The AVF closed spontaneously during angiogram and the patient’s renal function improved. The second case was a 25 year old man who had a biopsy due to acute rise in creatinine 14 weeks post transplantation. The biopsy was complicated by haematuria and an AVF was diagnosed on doppler ultrasound. The AVF enlarged over 3 months. An angiogram and endovascular coiling was performed with good resolution of the AVF. The patient’s renal function normalised. Conclusion: Endovascular coiling can ensure good resolution of renal AVF and is generally well tolerated.

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