患有股动静脉瘘的肾移植受者的肾移植结局：两例报告

Özdemir-van Brunschot Denise M D, de Sévaux Ruud G L, van Hamersvelt Henk W, Warlé Michiel C

Department of Surgery, Division of Vascular and Transplant Surgery, Radboudumc, Nijmegen, The Netherlands.

Department of Nephrology, Radboudumc, Nijmegen, The Netherlands.

Urol Case Rep. 2016 Jun 9;8:21-3. doi: 10.1016/j.eucr.2016.05.008. eCollection 2016 Sep.

Two patients, who were on hemodialysis over a femoral arteriovenous fistula, were transplanted in our center. Despite adequate blood pressure, perfusion of the renal allograft remained poor after completion of the vascular anastomoses. Ligation of the femoral arteriovenous fistula (1.6 L/min) led to adequate perfusion. Initial graft function was good. Although it remains unclear whether ischemia of a renal allograft is caused by venous hypertension or vascular steal due to a femoral arteriovenous fistula, it might be necessary to ligate a femoral arteriovenous fistula to obtain adequate graft perfusion.

两名通过股动静脉内瘘进行血液透析的患者在我们中心接受了移植手术。尽管血压正常，但血管吻合完成后，肾移植受者的灌注仍不佳。结扎股动静脉内瘘（1.6升/分钟）后灌注充足。移植肾初始功能良好。虽然尚不清楚肾移植受者的缺血是由静脉高压还是股动静脉内瘘导致的血管窃血引起的，但为了获得充足的移植肾灌注，可能有必要结扎股动静脉内瘘。