[Non-invasive monitoring of a humeral arteriovenous fistula with hemodynamic repercussions].
A 70-year-old woman, who undergoing hemodialysis due to chronic pyelonephritis, is reported. She suffered from dyspnea due to pulmonary artery hypertension secondary to volume overload as a complication of high-flow brachial AVF. The combined estimation of vascular access blood flow rate (QA) and systolic pulmonary artery pressure by noninvasive methods (ultrafiltration and Doppler echocardiography, respectively) allowed us the diagnosis, make a surgical indication and post-surgical follow-up of AVF with hemodynamic repercussion.
Roca-Tey
R
R
Servicio de Nefrología, Hospital de Mollet., Barcelona. 18647rrt@comb.es
Olivé
S
S
Samon
R
R
Ibrik
O
O
García-Madrid
C
C
Viladoms
J
J
D000368:Aged; D001166:Arteriovenous Shunt, Surgical; D001783:Blood Flow Velocity; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D002302:Cardiac Output; D004417:Dyspnea / Q000209:etiology; D015150:Echocardiography, Doppler; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications / Q000000981:diagnostic imaging; D006439:Hemodynamics; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology*; D017379:Hypertrophy, Left Ventricular / Q000000981:diagnostic imaging / Q000209:etiology; D016030:Kidney Transplantation; D011704:Pyelonephritis / Q000628:therapy; D006435:Renal Dialysis