Journal of Clinical Urology 2000;15(10):449-450

doi:10.3969/j.issn.1001-1420.2000.10.007

The repair of arteriovenous fistula before renal transplantation

Lin-Sheng CAO 1 ; Yi-Qi LUO ; Xue-Yi XUE ; Liang Hui ZHOU ; Jing-Xing WANG ; Xi LIN ; Si-Man LIAO ; Qin-Shui ZHEN ; Yong WEN

Affiliations

+expand

Keywords

Arterio-venous fistula Surtgery operative Kidney transplantotion Cardiac functional

Country

China

Language

Chinese

Abstract

Purpose:In order to investigate the effects of repair of arteriovenous fistula on heart function soas to widen the range of the indication of allogenetic transplantation of kidney. Methods :Repair of arteriovenousfistula was performed in 8 patients who have received long term hemodialysis and then complicated with repeatedattack of heart failure 5 months before renal transplantation. Results:There are 7 patients had their cardiac cham-bers returned to normal, and 1 returned to normal upper limit. Renal transplantation was successfully performedin 6 patients, but death occurred in 1 case resulting from liver function failure. Superacute rejection and sponta-neous rupture of the kidney occurred in 1 patient. Conclusions:It is considered that the repair of arteriovenous fis-tula before renal transplantation is beneficial to improvement of heart function in these patients so as to widen therange of operative indications and create favourable condition for renal transplantation and decrease complica-tions. Color doppler sonography is of great value in monitoring pre-and postoperative heart function.