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Allotransplantation of Ligated Arteriovenous Fistula as a Novel Strategy for Patients with Multiple Vascular Access Failures

M. A. Jaramillo-Gante1, C. E. Acosta-Hernandez1, P. R. Castro-Casillas1, I. J. Linares-Cervantes2

1Surgery, Star Medica Hospital, San Luis Potosi, Mexico, 2Surgery, University of Cincinnati Medical Center, Cincinnati, OH

Meeting: 2020 American Transplant Congress

Abstract number: D-226

Keywords: Donation, Graft acceptance, Tissue-specific, Ultrasonography

Session Information

Date: Saturday, May 30, 2020

Session Name: Poster Session D: Kidney Technical

Session Time: 3:15pm-4:00pm

 Presentation Time: 3:30pm-4:00pm

Location: Virtual

Related Abstracts
  • Arteriovenous Fistula Ligation In Stable Renal Transplant Patients Does Not Adversely Influence Graft Function
  • Upper Limb Early Cannulation Arteriovenous Grafts (ecAVG) for Complex Vascular Access – A Healthy Alternative to Central Venous Catheters (CVC)

*Purpose: To evaluate the feasibility of allotransplantation of a ligated arteriovenous fistula

*Methods: We report the first case of allotransplantation of a mature working arterialized cephalic vein for the creation of a femoro-femoral arteriovenous fistula in a patient with multiple vascular access failures. The donor arteriovenous fistula was ligated to avoid right ventricular dysfunction. Latero-terminal arterial and venous anastomosis was performed after the creation of a subcutaneous tunnel for the vascular allograft. The patient received Tacrolimus and Prednisone for 6 weeks. The patient has been on Rivaroxaban since the surgery.

*Results: The AV fistula was utilized 15 days after the vascular allograft transplantation. Doppler US 6 months after the surgery demonstrates a patent vascular allograft with no evidence of thrombosis in any segment and with a flow of 400-450ml/min. The recipient patient receives hemodialysis 3 times per week without any signs of dysfunction

*Conclusions: The result from this case demonstrates the feasibility of arteriovenous fistula transplantation as a novel technique that allows the rapid use and potentially longer durability of the vascular access.

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To cite this abstract in AMA style:

Jaramillo-Gante MA, Acosta-Hernandez CE, Castro-Casillas PR, Linares-Cervantes IJ. Allotransplantation of Ligated Arteriovenous Fistula as a Novel Strategy for Patients with Multiple Vascular Access Failures [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/allotransplantation-of-ligated-arteriovenous-fistula-as-a-novel-strategy-for-patients-with-multiple-vascular-access-failures/. Accessed February 27, 2021.

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