Banding a hemodialysis arteriovenous fistula to decrease blood flow and resolve high output cardiac failure: Report of a case

Surgery Today ◽  
1994 ◽  
Vol 24 (8) ◽  
pp. 734-736 ◽  
Author(s):  
Susumu Isoda ◽  
Hirokazu Kajiwara ◽  
Jiro Kondo ◽  
Akihiko Matsumoto
Keyword(s):  
Blood Flow ◽  
Arteriovenous Fistula ◽  
Cardiac Failure ◽  
Decrease Blood Flow ◽  
Hemodialysis Arteriovenous Fistula ◽  
High Output

High-Output Cardiac Failure and Coronary Steal With an Arteriovenous Fistula

2018 ◽  
Vol 71 (6) ◽  
pp. 896-903
Author(s):  
Amtul Aala ◽  
Sairah Sharif ◽  
Leslie Parikh ◽  
Paul C. Gordon ◽  
Susie L. Hu
Keyword(s):  
Arteriovenous Fistula ◽  
Cardiac Failure ◽  
Coronary Steal ◽  
High Output

Arteriovenous fistula-associated high-output cardiac failure: a review of mechanisms

2004 ◽  
Vol 43 (5) ◽  
pp. e21.1-e21.6 ◽  
Author(s):  
Jennifer M MacRae ◽  
Sanjay Pandeya ◽  
Dennis P Humen ◽  
Nikolai Krivitski ◽  
Robert M Lindsay
Keyword(s):  
Arteriovenous Fistula ◽  
Cardiac Failure ◽  
High Output

scholarly journals High-output cardiac failure secondary to high-output arteriovenous fistula: investigations, management and definitive treatment

2020 ◽  
Vol 13 (2) ◽  
pp. e233669 ◽  
Author(s):  
James Leon Hartley ◽  
Asheesh Sharma ◽  
Lamis Taha ◽  
Thomas Hestletine
Keyword(s):  
Pulmonary Hypertension ◽  
Arteriovenous Fistula ◽  
Cardiac Failure ◽  
Rare Complication ◽  
Definitive Treatment ◽  
Progressive Dyspnoea ◽  
Dialysis Fistula ◽  
End Stage ◽  
Haemodialysis Treatment ◽  
High Output

A 32 year-old woman was admitted to our institution with progressive dyspnoea. Her medical history was notable for end-stage renal failure secondary to chronic pyelonephritis, and she had undergone a cadaveric renal transplant in 2010. This had been preceded by haemodialysis treatment via a radiocephalic arteriovenous fistula. Her diagnostic evaluation was remarkable for pulmonary hypertension. A subsequent doppler ultrasound of her arteriovenous fistula revealed a blood flow of 3 L/min. This is consistent with a high output fistula. Echocardiography demonstrated an improvement in pulmonary artery pressure with occlusion of the fistula. After multidisciplinary discussion, a decision was made to surgically tie off her fistula. The patient experienced immediate improvement in her shortness of breath along with resolution of pulmonary hypertension on echocardiography. This case highlights the rare complication of high output cardiac failure from a dialysis fistula and its successful surgical management.

Successful Intervention for High-Output Cardiac Failure Caused by Massive Renal Arteriovenous Fistula

Angiology ◽  
2004 ◽  
Vol 55 (2) ◽  
pp. 205-208 ◽  
Author(s):  
Azimuddin T. Khawaja ◽  
Gordon K. McLean ◽  
Venkatraman Srinivasan
Keyword(s):  
Arteriovenous Fistula ◽  
Cardiac Failure ◽  
Renal Arteriovenous Fistula ◽  
Successful Intervention ◽  
High Output

Percutaneous Treatment of a Traumatic Renal-Caval Arteriovenous Fistula Presenting as High Output Cardiac Failure

2009 ◽  
Vol 23 (2) ◽  
pp. 256.e9-256.e12 ◽  
Author(s):  
Handel Robinson ◽  
Joseph Shams ◽  
Jeffrey Kirk ◽  
Nicole Sorrentino ◽  
Jonathan Deitch
Keyword(s):  
Arteriovenous Fistula ◽  
Cardiac Failure ◽  
Percutaneous Treatment ◽  
High Output

Quantitative Evaluation of the Systemic Effects of Transposed Basilic Vein to Brachial Artery Arteriovenous Fistula: A Prospective Study

2008 ◽  
Vol 9 (4) ◽  
pp. 285-290 ◽  
Author(s):  
N. Saratzis ◽  
A. Saratzis ◽  
P.A. Sarafidis ◽  
N. Melas ◽  
K. Ktenidis ◽  
...  
Keyword(s):  
Blood Flow ◽  
Arterial Pressure ◽  
Arteriovenous Fistula ◽  
Cardiac Failure ◽  
Brachial Artery ◽  
Systemic Arterial Pressure ◽  
Flow Volume ◽  
Basilic Vein ◽  
Blood Flow Volume ◽  
Steal Syndrome

Background The transposed basilic vein to brachial artery arteriovenous fistula (BBAVF) constitutes an alternative autogenous vascular access (VA) site for chronic hemodialysis (HD); however, the hemodynamic effects of this procedure have not been adequately studied. The purpose of this study is to evaluate the effects of BBAVF on systemic arterial pressure, cardiac function, and upper limb ischemia (ischemic steal syndrome) utilizing reproducible quantitative methods. Methods Ten consecutive patients (eight males; mean age: 65.10 ± 2.87 yrs) scheduled to undergo a brachial-basilic vein transposition were included, excluding patients with cardiac failure. Blood flow volume at the level of the AVF, systemic arterial pressure (SAP), cardiac output (CO) and digital brachial index (DBI) were measured intra-operatively, before and after the creation of the BBAVF, and post-operatively on the 30th post-operative day and on the 3rd post-operative month. Results SAP and DBI at 30 days and 3 months post-operatively were significantly lower compared to baseline. CO at 30 days and 3 months post-operatively was significantly higher compared to baseline; however, none of the patients developed cardiac failure. DBI remained ≥0.6 at 3 months, except in one case (0.59). Blood flow volume at the level of the AVF was positively correlated with CO levels on the 30th post-operative day. Mean clinical follow-up was 12 months (range: 4–15 months). In two cases (20%) the AVF was thrombosed (4th and 10th post-operative month). Conclusion This prospective quantitative study proves that the BBAVF does impact significantly upon SAP, CO, and DBI; however, it is safe in terms of high-output cardiac failure and ischemic steal syndrome. The authors state that they do not have any commercial, proprietary, or financial interest in any products or companies described in this article.

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