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Experience with three Brescia-Cimino shunts
British Medical Journal
|September 28, 1968
Insights
Bresica-Cimino shunts for dialysis can significantly increase heart circulatory load. Early cardiac output investigation and timely shunt closure are crucial for patients, especially post-transplant.
Area of Science:
- Cardiovascular Medicine
- Nephrology
- Surgical Interventions
Background:
- Bresica-Cimino shunts are utilized to enable intermittent dialysis.
- These vascular access shunts can impose a substantial circulatory burden.
Purpose of the Study:
- To report on patients experiencing cardiac overload due to Bresica-Cimino shunts.
- To highlight the importance of monitoring cardiac function in patients with these shunts.
Main Methods:
- Case series describing three patients with evidence of cardiac overload.
- Clinical assessment and investigation of cardiac output in affected individuals.
Main Results:
- Three patients demonstrated significant circulatory overload attributed to the presence of Bresica-Cimino shunts.
- The shunts markedly increased the workload on the heart.
Conclusions:
- Thorough cardiac output investigation is essential for patients with Bresica-Cimino shunts.
- Prompt closure of these shunts is recommended, particularly after successful kidney transplantation.
Abstract:
Bresica-Cimino shunts inserted to facilitate intermittent dialysis may markedly increase the circulatory load on the heart. Three patients in whom there was evidence of overload are described. Thorough investigation of the cardiac output should be made in patients with fistulae of this kind, which should be closed as soon as practicable after transplantation.