Abstract

Bigger is not always better: The consequences of High-flow hemodialysis arterial-venous fistula (Mega fistula)

Highlights

  • The patient is 45 year-old African American female on maintenance hemodialysis through an arterial-venous fistula (AVF) in the left upper arm for the last 3 years. She came to Toledo Vascular Access Center (TVAC) with infiltration and low urea reduction ratio (URR) despite high blood flow through the fistula

  • Arterial-venous fistula is plagued with steal syndrome (SS), aneurysmal dilation with inherited consequences of rupture and repeated episodes of high output heart failure with enlargement of the heart chambers and eventually dilated cardiomyopathy and pulmonary hypertensions [2,3,4]

  • Young dialysis patients with upper arm AVF can tolerate high flow through the fistula up to 4L/min without any ill effects even though these measurements of access flow is usually performed at rest

Read more

Summary

Introduction

The patient is 45 year-old African American female on maintenance hemodialysis through an arterial-venous fistula (AVF) in the left upper arm for the last 3 years. Bigger is not always better: The consequences of High-flow hemodialysis arterial-venous fistula (Mega fistula) She came to Toledo Vascular Access Center (TVAC) with infiltration and low urea reduction ratio (URR) despite high blood flow through the fistula.

Results
Conclusion
Full Text

Published Version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call

Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.