Arteriovenous fistula creation in a patient without a pulse: Vascular access in patients with left ventricular assist devices

Autor:	Nicholas Inston, Neil J. Howell, Hoong Sern Lim, Aurangzaib Khawaja
Rok vydání:	2019
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Fistula Vascular access Arteriovenous fistula medicine.disease Surgery Nephrology Ventricular assist device Heart failure Medicine In patient business Dialysis Destination therapy
Zdroj:	The Journal of Vascular Access. 20:760-762
ISSN:	1724-6032 1129-7298
Popis:	Left ventricular assist devices are used in heart failure patients as bridge to transplantation or increasingly as a destination therapy. These patients frequently have renal dysfunction and many reach end-stage renal failure. If haemodialysis is required, minimization of infection risk is essential. Arteriovenous grafts have been recommended for these patients due to hypothetical concerns regarding fistula maturation due to continuous flow. A case is described where a brachiocephalic arteriovenous fistula was successfully formed and used for dialysis without issue. This is one case of a small number in the literature where arteriovenous fistulas have been used in left ventricular assist device patients and it appears that concerns are unfounded and good outcomes have been reported. It would appear from this experience that approaches to vascular access for dialysis in patients with continuous-flow left ventricular assist devices are in accordance with vascular access guidelines and standard practice.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::1f9026c0e7e9f7bbba9f63271e562b38 https://doi.org/10.1177/1129729819826029 Zobrazit plný text záznamu