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December 27, 1976

Arteriovenous Fistula After Femoral Vein Catheterization

Author Affiliations

University of Florida Medical School and Veterans Administration Hospital Gainesville

JAMA. 1976;236(26):2943-2944. doi:10.1001/jama.1976.03270270005014

To the Editor.—  Percutaneous femoral vein catheterization is a relatively safe and rapid means of obtaining a blood access route for hemodialysis.1 It is especially useful in emergency situations or when existing sites for arteriovenous (AV) prosthetic shunts are exhausted. Reported complications include inadvertent puncture of the femoral artery resulting in a periarterial hematoma,2 femoral vein thrombosis, and retroperitoneal bleeding.3 To our knowledge, the development of an AV fistula following femoral vein catheterization for hemodialysis has not previously been reported.

Report of a Case.—  A 29-year-old woman with chronic renal failure secondary to chronic glomerulonephritis underwent a cadaveric renal transplant Jan 15, 1976. Her immediate postoperative course was complicated by two rejection episodes; she was treated with methylprednisolone intravenously. At discharge on Feb 11, 1976, the patient had a serum creatinine value of 1.2 mg/100 ml and was taking 100 mg azathioprine (Imuran) and 30 mg prednisone.