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The Impact of Arteriovenous Fistulae for Hemodialysis on the Cardiovascular System
Author(s) -
Rao Nitesh N.,
Dundon Benjamin K.,
Worthley Matthew I.,
Faull Randall J.
Publication year - 2016
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/sdi.12459
Subject(s) - medicine , hemodialysis , arteriovenous fistula , cardiology , intensive care medicine , dialysis , peritoneal dialysis , hemodynamics , heart failure , surgery
An arteriovenous fistula ( AVF ) is critical for the provision of optimal chronic hemodialysis. Its creation causes significant hemodynamic alterations in cardiovascular parameters, and can result in progressive left and right heart failure. Despite successful kidney transplantation, many patients retain a functional AVF indefinitely, which may contribute to ongoing adverse cardiovascular outcomes. A similar high risk:benefit ratio may exist in peritoneal dialysis patients with “backup” AVF .