Successful Hemodialysis Arteriovenous Fistula Creation in a Patient With Continuous-Flow Left Ventricular Assist Device Support

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• 作者：Andrew I. Chin ; MD¹ ; ^{aichin@ucdavis.edu} ; Kathleen Tong ; MD² ; John P. McVicar ; MD³
• 关键词：Left ventricular assist device (LVAD) ; arteriovenous fistula (AVF) ; dialysis access ; vascular access ; hemodialysis ; heart failure ; end-stage renal disease ; case report
• 刊名：American Journal of Kidney Diseases
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：69
• 期：2
• 页码：314-316
• 全文大小：540 K
• 卷排序：69

文摘

Heart failure necessitating left ventricular assist device (LVAD) support can lead to kidney failure requiring dialysis. Some of these patients may require long-term hemodialysis (HD). Optimal vascular access for a patient on long-term HD therapy with an LVAD remains a complex issue. The majority of LVADs are of the continuous-flow type, and it has been theorized that native arteriovenous fistula maturation may be impaired in a setting of decreased pulsatile arterial flow. We describe a case of successful creation and use of an arteriovenous fistula in an HD-dependent patient with a continuous-flow LVAD.