Portal de Periódicos da CAPES

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

1528-1140

Henry J. Fee, Jorge A. Levisman, Robert B. Doud, Arthur Golding,

Peripheral Artery Disease Management

Femoral 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.