CardioVascular and Interventional Radiology

, Volume 37, Issue 3, pp 819–824 | Cite as

Endovascular Treatment of Pancreatic Allograft Transplant Arteriovenous Fistula Using Amplatzer Vascular Plug 2

  • Ahmed Kamel Abdel-Aal
  • Ahmed Elsayed
  • Souheil Saddekni
  • Maysoon Farouk Hamed
  • Carlton Young
Case Report


We report a case of simultaneous pancreas–kidney transplant, referred to us with an arteriovenous fistula (AVF) in the transplanted pancreas. The AVF was manifested by compromised functions of the transplanted pancreas. The patient was successfully treated with percutaneous transcatheter embolotherapy using Amplatzer Vascular Plug 2 (St. Jude Medical, Plymouth, MA), after the adequacy of the pancreatic transplant perfusion was ensured to avoid the risk of postembolization pancreatic infarction. There were no complications related to the procedure and the patient pancreatic functions and clinical status returned to baseline. Our case highlights a rare vascular complication related to pancreatic transplant that was managed by minimally invasive endovascular treatment. To our knowledge, the technique used in treatment of this case was not previously described in literature.


Simultaneous pancreas kidney transplantation Arteriovenous fistula Pancreatic transplant Embolization Amplatzer Vascular Plug 2 Endovascular 


Conflict of interest

Ahmed Kamel Abdel Aal, Souheil Saddekni: Consultants, St Jude Medical; Ahmed Elsayed, Maysoon Farouk Hamed, Carlton Young: No conflict of interest.


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Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2013

Authors and Affiliations

  • Ahmed Kamel Abdel-Aal
    • 1
  • Ahmed Elsayed
    • 2
  • Souheil Saddekni
    • 1
  • Maysoon Farouk Hamed
    • 1
  • Carlton Young
    • 3
  1. 1.Department of RadiologyUniversity of Alabama at BirminghamBirminghamUSA
  2. 2.Department of RadiologyUniversity of Alabama at BirminghamBirminghamUSA
  3. 3.Department of SurgeryUniversity of Alabama at BirminghamBirminghamUSA

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