Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
HIGH-OUTPUT CARDIAC-FAILURE DUE TO EXCESSIVE SHUNTING IN A HEMODIALYSIS ACCESS FISTULA - AN EASILY OVERLOOKED DIAGNOSIS
Autore:
ENGELBERTS I; TORDOIR JHM; BOON ES; SCHREIJ G;
Indirizzi:
ACAD HOSP MAASTRICHT,DEPT SURG,POB 5800 6202 AZ MAASTRICHT NETHERLANDS ACAD HOSP MAASTRICHT,DEPT INTENS CARE MED 6202 AZ MAASTRICHT NETHERLANDS
Titolo Testata:
American journal of nephrology
fascicolo: 4, volume: 15, anno: 1995,
pagine: 323 - 326
SICI:
0250-8095(1995)15:4<323:HCDTES>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
DIALYSIS FISTULAS; COMPLICATIONS;
Keywords:
ARTERIOVENOUS HEMODIALYSIS ACCESS FISTULA, EXCESSIVE SHUNTING; HIGH-OUTPUT CARDIAC FAILURE, DIAGNOSIS; NONINVASIVE EVALUATION, HIGH-OUTPUT CARDIAC FAILURE;
Tipo documento:
Note
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
14
Recensione:
Indirizzi per estratti:
Citazione:
I. Engelberts et al., "HIGH-OUTPUT CARDIAC-FAILURE DUE TO EXCESSIVE SHUNTING IN A HEMODIALYSIS ACCESS FISTULA - AN EASILY OVERLOOKED DIAGNOSIS", American journal of nephrology, 15(4), 1995, pp. 323-326

Abstract

A dialysis arteriovenous fistula caused life-threatening high-output cardiac failure in a 66-year-old patient. Excessive shunting through the dialysis fistula was demonstrated by invasive measurement of cardiac output, systemic arterial blood pressure, systemic vascular resistance, and oxygen consumption before and after temporary occlusion of thedialysis fistula. Noninvasive echocardiographic evaluation of the influence of fistula compression on cardiac output and noninvasive duplexmeasurement of the fistula flow also confirmed the diagnosis, Following surgical closure of the fistula, the patient's condition improved, and signs of congestive heart failure subsided. High-output cardiac failure is a rare complication of dialysis arteriovenous fistulas. The diagnosis may remain unrecognized for longer periods. Noninvasive methods for estimation of the hemodynamic importance of a fistula may be ofhelp in the establishment of the proper diagnosis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/07/20 alle ore 21:43:49