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Banding of arteriovenous dialysis fistulas to correct high-output cardiac failure
Surgery
|November 1, 1975
Insights
High-output cardiac failure from arteriovenous dialysis fistulas can be successfully treated. Banding the affected vessel, with continuous flow rate monitoring, resolved the condition in three patients.
Area of Science:
- Cardiovascular Surgery
- Nephrology
- Vascular Access
Background:
- Arteriovenous fistulas are essential for hemodialysis.
- High-output cardiac failure is a rare but serious complication of these fistulas.
Purpose of the Study:
- To describe successful treatment of high-output cardiac failure secondary to arteriovenous dialysis fistulas.
- To present a minimally invasive surgical approach.
Main Methods:
- Case series of three patients with high-output cardiac failure.
- Surgical intervention involved banding of the feeding artery.
- Continuous monitoring of fistula flow rates during and after the procedure.
Main Results:
- All three patients experienced successful resolution of cardiac failure.
- The banding procedure effectively reduced fistula flow to appropriate levels.
- No major complications were reported.
Conclusions:
- Vessel banding is an effective treatment for high-output cardiac failure caused by arteriovenous dialysis fistulas.
- Careful intraoperative flow monitoring is crucial for successful outcomes.
Abstract:
Three patients with high output cardiac failure from arteriovenous dialysis fistulas are described. All three were treated successfully by banding the appropriate vessel while constantly monitoring flow rates.