Open AccessHigh-output Congestive Failure From Femoral Arteriovenous Shunts for Vascular Access
Author(s) -
Henry J. Fee,
Jorge A. Levisman,
Robert B. Doud,
Arthur Golding
Publication year - 1976
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197603000-00019
Subject(s) - medicine , heart failure , cardiology , vascular access , arteriovenous fistula , femoral artery , surgery , hemodialysis
Femoral arteriovenous bovine shunts (FAVBS) represent an accepted method of vascular access for patients requiring chronic hemodialysis. The authors present 4 patients who required corrective surgery for high-putput congestive heart failure (HOCHF) secondary to high flow rates through the shunt. In order to avoid this serious complication, intraoperative graft flow rates should not exceed 900 cc/min. HOCHF secondary to FAVBS may be refractory to conservative therapy and require either banding of the shunt or its removal.