Abstract
This chapter discusses the case of a patient who had been on dialysis for 4 years. Over the past 6 months, he has developed progressively more severe congestive heart failure manifesting as dyspnea on exertion and orthopnea. The patient’s cardiac problems have been managed by a cardiologist who felt that he was receiving maximum medical management. The patient was referred to the dialysis access center because his nephrologist and cardiologist felt that he had a high blood flow fistula which was contributing to his cardiac failure.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Wytrzes L, Markley HG, Fisher M, Alfred HJ. Brachial neuropathy after brachial artery-antecubital vein shunts for chronic hemodialysis. Neurology. 1987;37(8):1398–400.
Redfern AB, Zimmerman NB. Neurologic and ischemic complications of upper extremity vascular access for dialysis. J Hand Surg Am. 1995;20(2):199–204.
Isoda S, Kajiwara H, Kondo J, Matsumoto A. Banding a hemodialysis arteriovenous fistula to decrease blood flow and resolve high output cardiac failure: report of a case. Surg Today. 1994;24(8):734–6.
Young PR Jr, Rohr MS, Marterre WF Jr. High-output cardiac failure secondary to a brachiocephalic arteriovenous hemodialysis fistula: two cases. Am Surg. 1998;64(3):239–41.
London GM. Left ventricular alterations and end-stage renal disease. Nephrol Dial Transplant. 2002;17(Suppl 1):29–36.
Vascular Access Society. Guideline 20.3: Management of High Flow in AV Fistula and Graft. www.vascularaccesssociety.org.
Basile C, Lomonte C, Vernaglione L, Casucci F, Antonelli M, Losurdo N. The relationship between the flow of arteriovenous fistula and cardiac output in haemodialysis patients. Nephrol Dial Transplant. 2008;23(1):282–7.
Wasse H, Singapuri MS. High-output heart failure: how to define it, when to treat it, and how to treat it. Semin Nephrol. 2012;32(6):551–7.
MacRae JM, Pandeya S, Humen DP, Krivitski N, Lindsay RM. Arteriovenous fistula-associated high-output cardiac failure: a review of mechanisms. Am J Kidney Dis. 2004;43(5):e17–22.
Katz S, Kohl RD. The treatment of hand ischemia by arterial ligation and upper extremity bypass after angioaccess surgery. J Am Coll Surg. 1996;183(3):239–42.
Beathard GA, Settle SM, Shields MW. Salvage of the nonfunctioning arteriovenous fistula. Am J Kidney Dis. 1999;33(5):910–6.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Beathard, G.A. (2017). Balloon-Assisted Banding for High-Output Heart Failure. In: Yevzlin, A., Asif , A., Redfield III, R., Beathard, G. (eds) Dialysis Access Cases. Springer, Cham. https://doi.org/10.1007/978-3-319-57500-1_11
Download citation
DOI: https://doi.org/10.1007/978-3-319-57500-1_11
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-57498-1
Online ISBN: 978-3-319-57500-1
eBook Packages: MedicineMedicine (R0)