Acute Hepatic Failure Associated With Arteriovenous Fistulae for Hemodialysis

We present the case of a 63-year-old woman who was admitted to the intensive care unit for altered mental status and hypotension 3 weeks after creation of an arteriovenous fistula (AVF). She was found to have high-output heart failure and evidence of acute hepatic failure. High-output heart failure...

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Veröffentlicht in:	Annals of vascular surgery 2012-10, Vol.26 (7), p.1012.e1-1012.e4
Hauptverfasser:	Carlson, Terri, Sanders, J. Paul, Madar, Cristian, Davis, Konrad, Katras, Tony, Gagliano, Ronald A
Format:	Artikel
Sprache:	eng
Schlagworte:	Arteriovenous Shunt, Surgical - adverse effects Cardiac Output, High - etiology Female Heart Failure - etiology Humans Hypotension - etiology Liver Failure, Acute - diagnosis Liver Failure, Acute - etiology Liver Failure, Acute - therapy Middle Aged Predictive Value of Tests Renal Dialysis - adverse effects Surgery Tomography, X-Ray Computed Ultrasonography, Doppler, Duplex
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Zusammenfassung:	We present the case of a 63-year-old woman who was admitted to the intensive care unit for altered mental status and hypotension 3 weeks after creation of an arteriovenous fistula (AVF). She was found to have high-output heart failure and evidence of acute hepatic failure. High-output heart failure is a known complication of AVF creation, but hepatic failure after AVF has not been previously described. We present such a case.
ISSN:	0890-5096 1615-5947
DOI:	10.1016/j.avsg.2012.01.017