High-output Congestive Failure From Femoral Arteriovenous Shunts for Vascular Access
1976; Lippincott Williams & Wilkins; Volume: 183; Issue: 3 Linguagem: Inglês
10.1097/00000658-197603000-00019
ISSN1528-1140
AutoresHenry J. Fee, Jorge A. Levisman, Robert B. Doud, Arthur Golding,
Tópico(s)Peripheral Artery Disease Management
ResumoFemoral arteriovenous bovine shunts (FAVBS) represent an accepted method of vascular access for patients requiring chronic hemodialysis. The authors present 4 patients who required corrective surgery for high-output congestive heart failure (HOCHF) secondary to high flow rates through the shunt. In order to avoid this serious complication, intraoperative graft flow rates should not exceed 900 cc/min. HOCHF secondary to FAVBS may be refractory to conservative therapy and require either banding of the shunt or its removal.
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