title: Complications of a High-flow Access and Its Management.
abstract: A high-flow access has been defined as one with a flow >1-1.5 l/minute or as one where the access flow is >20% of the cardiac output. Although it may be asymptomatic, it can be associated with cardiopulmonary complications, aneurysms, central vein stenosis and the distal hypoperfusion ischemic syndrome in some patients. The decision for surgical intervention should be made after careful medical optimization especially in patients with high output cardiopulmonary compromise. In this review, we present a summary of current knowledge about the pathophysiology of a high-flow fistula, followed by a concise, comprehensive synopsis of current medical and surgical therapy.
authors: Division of Nephrology and Hypertension, Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, Louisiana.
authors: Adrian
authors: A
authors: Sequeira
authors: Division of Vascular surgery, Department of Surgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana.
authors: Tze-Woei
authors: TW
authors: Tan
mesh_terms: D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D002318:Cardiovascular Diseases / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D012039:Regional Blood Flow; D006435:Renal Dialysis / Q000009:adverse effects; D013318:Stroke Volume; D014655:Vascular Resistance