A Report of Two Cases of Hazards Associated with High Flow Arteriovenous Fistula in ESRD Patients
High flow arteriovenous fistulas are a common clinical entity affecting patients with end-stage renal failure receiving hemodialysis. Given the difficulty in predicting who will develop a high flow arteriovenous fistula the exact prevalence is unclear. We present two cases of patients with high flow...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Nephrology |
| Online Access: | http://dx.doi.org/10.1155/2018/1686135 |
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| _version_ | 1832567603443269632 |
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| author | Vipuj Shah Rakesh Navuluri Yolanda Becker Mary Hammes |
| author_facet | Vipuj Shah Rakesh Navuluri Yolanda Becker Mary Hammes |
| author_sort | Vipuj Shah |
| collection | DOAJ |
| description | High flow arteriovenous fistulas are a common clinical entity affecting patients with end-stage renal failure receiving hemodialysis. Given the difficulty in predicting who will develop a high flow arteriovenous fistula the exact prevalence is unclear. We present two cases of patients with high flow arteriovenous fistula that developed clinical cardiac failure at a time point after the fistula was placed with findings of significant cephalic arch stenosis. Both patients required treatment of cephalic arch stenosis with balloon angioplasty with subsequent surgical aneurism resection. Accurate and timely diagnosis of high flow arteriovenous hemodynamics by prospective monitoring of volumetric flow and cardiac function is required to halt this process prior to cardiac compromise. |
| format | Article |
| id | doaj-art-a4005648ecbc463ea6aaaf61b7071cd1 |
| institution | Kabale University |
| issn | 2090-6641 2090-665X |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Nephrology |
| spelling | doaj-art-a4005648ecbc463ea6aaaf61b7071cd12025-02-03T01:00:59ZengWileyCase Reports in Nephrology2090-66412090-665X2018-01-01201810.1155/2018/16861351686135A Report of Two Cases of Hazards Associated with High Flow Arteriovenous Fistula in ESRD PatientsVipuj Shah0Rakesh Navuluri1Yolanda Becker2Mary Hammes3Department of Medicine, Section of Nephrology, University of Chicago, Chicago, IL, USADepartment of Interventional Radiology, University of Chicago, Chicago, IL, USADepartment of Transplant Surgery, University of Chicago, Chicago, IL, USADepartment of Medicine, Section of Nephrology, University of Chicago, Chicago, IL, USAHigh flow arteriovenous fistulas are a common clinical entity affecting patients with end-stage renal failure receiving hemodialysis. Given the difficulty in predicting who will develop a high flow arteriovenous fistula the exact prevalence is unclear. We present two cases of patients with high flow arteriovenous fistula that developed clinical cardiac failure at a time point after the fistula was placed with findings of significant cephalic arch stenosis. Both patients required treatment of cephalic arch stenosis with balloon angioplasty with subsequent surgical aneurism resection. Accurate and timely diagnosis of high flow arteriovenous hemodynamics by prospective monitoring of volumetric flow and cardiac function is required to halt this process prior to cardiac compromise.http://dx.doi.org/10.1155/2018/1686135 |
| spellingShingle | Vipuj Shah Rakesh Navuluri Yolanda Becker Mary Hammes A Report of Two Cases of Hazards Associated with High Flow Arteriovenous Fistula in ESRD Patients Case Reports in Nephrology |
| title | A Report of Two Cases of Hazards Associated with High Flow Arteriovenous Fistula in ESRD Patients |
| title_full | A Report of Two Cases of Hazards Associated with High Flow Arteriovenous Fistula in ESRD Patients |
| title_fullStr | A Report of Two Cases of Hazards Associated with High Flow Arteriovenous Fistula in ESRD Patients |
| title_full_unstemmed | A Report of Two Cases of Hazards Associated with High Flow Arteriovenous Fistula in ESRD Patients |
| title_short | A Report of Two Cases of Hazards Associated with High Flow Arteriovenous Fistula in ESRD Patients |
| title_sort | report of two cases of hazards associated with high flow arteriovenous fistula in esrd patients |
| url | http://dx.doi.org/10.1155/2018/1686135 |
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