Effect of surgical banding of a high-flow fistula on access flow and cardiac output: intraoperative and long-term measurements.
Creation of either a natural arteriovenous graft or a fistula as a vascular access to support long-term hemodialysis can lead to "high-output" cardiac failure. The authors describe a patient who underwent surgical banding of an upper arm arteriovenous fistula. Access flow and cardiac output were measured not only pre- and postoperatively but also intraoperatively using a modified Swan Ganz catheter, originally developed to measure access flows during radiologic procedures. Banding resulted in a significant decrease in access flow and cardiac output, which was sustained for up to 1 year postoperatively.
Murray
Brian M
BM
Department of Medicine, State University of New York at Buffalo, Buffalo, NY, USA. Bmurray@ams.ecmc.edu
Rajczak
Susan
S
Herman
Annette
A
Leary
Daniel
D
D001164:Arteriovenous Fistula / Q000097:blood / Q000378:metabolism*; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D002302:Cardiac Output / Q000502:physiology*; D006801:Humans; D007432:Intraoperative Period / Q000639:trends*; D007676:Kidney Failure, Chronic / Q000097:blood / Q000473:pathology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D006435:Renal Dialysis / Q000379:methods