The Impact of Arteriovenous Fistulae for Hemodialysis on the Cardiovascular System
- Resource Type
- Authors
- Randall J. Faull; Benjamin K. Dundon; Nitesh N. Rao; Matthew I. Worthley
- Source
- Seminars in Dialysis. 29:214-221
- Subject
- congenital, hereditary, and neonatal diseases and abnormalities
medicine.medical_specialty
medicine.medical_treatment
030232 urology & nephrology
Hemodynamics
Arteriovenous fistula
030204 cardiovascular system & hematology
Cardiovascular System
Peritoneal dialysis
03 medical and health sciences
Arteriovenous Shunt, Surgical
0302 clinical medicine
Renal Dialysis
medicine
Humans
Chronic hemodialysis
cardiovascular diseases
Intensive care medicine
Kidney transplantation
business.industry
medicine.disease
Nephrology
Heart failure
Kidney Failure, Chronic
Hemodialysis
business
Cardiovascular outcomes
- Language
- ISSN
- 0894-0959
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.