Abstract
We report herein the successful surgical treatment of a patient with high-output cardiac failure which developed from a high-flow hemodialysis arteriovenous fistula of the Brescia-Cimino type. Banding correction of the venous limb of the fistula with a woven Dacron prosthesis resulted in marked improvement of the cardiac failure. An ultrasonic study showed the fistula flow of 3.21/min to be as high as 40% of the resting cardiac output, or 5.01/min, before banding, while an intraoperative electromagnetic study was useful for controlling the degree of banding and showing the decrease of fistula flow from 3.71/min to 1.41/min.
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Brescia MJ, Cimino JE, Apple K, Hurwich BJ (1966) Chronic hemodialysis using venipuncture and a surgically created arteriovenous fistula. N Engl J Med 275:1089–1092
Burger H, Kootstra G, de Charro F, Leffers P (1991) A survey of vascular access for hemodialysis in Netherlands. Nephrol Dial Transplant 6:5–10
Sisto T, Riekkinen H (1988) Clinical experience of arteriovenous fistula for dialysis during an eighteen year period. Ann Chir Gynaecol 77:108–110
Johnson G Jr, Blythe WB (1970) Hemodynamic effects of arteriovenous shunts used for hemodialysis. Ann Surg 171: 715–721
Kanatsu K, Nagai H, Ikeda M, Suzuki K, Hara A (1978) Shunt flow of hemodialysis arteriovenous fistula and its effect on hemodynamics (in Japanese). Jin to Touseki (Kidney and Dialysis) 4:421–426
Menno AD, Zizzi J, Hodson J, McMahon J (1967) An evaluation of the radial arterio-venous fistula as a substitute for the Quinton shunt in chronic hemodialysis. Trans Am Soc Artif Int Organs 13:62–67
Ahearn DJ, Maher JF (1972) Heart failure as a complication of hemodialysis arteriovenous fistula. Ann Intern Med 77:201–204
Anderson CB, Codd JR, Graff RA, Groce MA, Harter HR, Newton WT (1976) Cardiac failure and upper extremity arteriovenous dialysis fistulas. Arch Intern Med 136:292–297
Kitamoto Y, Niki M, Taguma Y, Ueda J, Monma H, Ishizaki A, Takahashi K, Sekino H, Terazawa Y (1986) Influence of A-V fistula upon cardiac function of chronic hemodialysis patients (in Japanese). Jin to Touseki (Kidney and Dialysis) 20:209–215
Kubo K, Nishida A (1991) Large shunt (in Japanese). In: Agishi T, Amane I, Imagawa A, Kon T (eds) Blood access trouble. Kanehara, Tokyo, pp 95–101
Khalil IM, Livingstone DH (1988) The management of steal syndrome occurring after access for dialysis. J Vase Surg 7:572–573
Mattson WJ (1987) Recognition and treatment of vascular steal secondary to hemodialysis prosthesis. Am J Surg 154:198–201
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Isoda, S., Kajiwara, H., Kondo, J. et al. Banding a hemodialysis arteriovenous fistula to decrease blood flow and resolve high output cardiac failure: Report of a case. Surg Today 24, 734–736 (1994). https://doi.org/10.1007/BF01636780
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DOI: https://doi.org/10.1007/BF01636780