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Iatrogenic Graft to Vein Fistula (GVF) Formation Associated with Synthetic Arteriovenous Grafts


Address correspondence to: Anil K. Agarwal, Professor of Medicine, Director of Interventional Nephrology, The Ohio State University, Division of Nephrology, 395 West 12th Avenue, Ground Floor, Columbus, OH 43210, Tel.: 614-293-4997, Fax: 614-293-3073, or e-mail:


The prevalence of fistulous connection between arteriovenous graft (AVG) and an adjacent vein resulting in graft-vein fistula (GVF) formation is not established. AVG venous outflow stenosis along with repeated and traumatic cannulation is likely major contributing factor of this complication. Detection and resolution of venous outflow stenosis may be the only needed intervention. We report a series of eight cases with GVF formation between AVG and adjacent veins. Awareness of this complication and intervention to relieve stenotic lesions may result in improved AVG survival.