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Cardiopulmonary Complications of Hemodialysis Access

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Hemodialysis Access

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Abstract

Cardiovascular complications are the leading cause of morbidity and mortality in patients with end-stage renal disease (ESRD). The etiology and pathogenesis of the cardiovascular issues are multifactorial. Patients with chronic kidney disease (CKD) demonstrate altered pulmonary and cardiac status even prior to beginning hemodialysis, as compared to non-CKD patients. Factors, other than the typical comorbidities, have been implicated as playing a role in the higher than expected rate of cardiovascular complications in the CKD population, including volume overload, anemia, and uremia. Interestingly, arteriovenous (AV) access construction is also associated with an increased risk of cardiovascular death. Renal transplant has been shown to drastically improve the clinical picture, even if the access is not ligated. This chapter discusses the cardiopulmonary limitations of hemodialysis access.

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Authors and Affiliations

  1. Division of Vascular Surgery, University at Buffalo, SUNY, Buffalo General Medical Center, B7 100 High St, Buffalo, NY, 14203, USA

    Mariel Rivero MD & Linda M. Harris MD, FACS

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  1. Mariel Rivero MD
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Correspondence to Linda M. Harris MD, FACS .

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Editors and Affiliations

  1. Division of Vascular Surgery, Department of Surgery The University of Washington, Seattle, Washington, USA

    Sherene Shalhub

  2. Department of Surgery, Medical College of Wisconsin, Brookfield, Wisconsin, USA

    Anahita Dua

  3. Division of Vascular Surgery, Department of Surgery The University of Washington, Seattle, Washington, USA

    Susanna Shin

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Rivero, M., Harris, L.M. (2017). Cardiopulmonary Complications of Hemodialysis Access. In: Shalhub, S., Dua, A., Shin, S. (eds) Hemodialysis Access. Springer, Cham. https://doi.org/10.1007/978-3-319-40061-7_38

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  • DOI: https://doi.org/10.1007/978-3-319-40061-7_38

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