Non-invasive monitoring of a humeral arteriovenous fistula with hemodynamic repercussions

A 70-year-old woman, who undergoing hemodialysis due to chronic pyelonephritis, is reported. She suffered from dyspnea due to pulmonary artery hypertension secondary to volume overload as a complication of high-flow brachial AVF. The combined estimation of vascular access blood flow rate (QA) and sy...

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Veröffentlicht in:	Nefrología 2003, Vol.23 (2), p.169-171
Hauptverfasser:	Roca-Tey, R, Olivé, S, Samon, R, Ibrik, O, García-Madrid, C, Viladoms, J
Format:	Artikel
Sprache:	spa
Schlagworte:	Aged Arteriovenous Shunt, Surgical Blood Flow Velocity Brachial Artery - diagnostic imaging Brachial Artery - surgery Cardiac Output Dyspnea - etiology Echocardiography, Doppler Female Heart Valve Diseases - complications Heart Valve Diseases - diagnostic imaging Hemodynamics Humans Hypertension, Pulmonary - etiology Hypertrophy, Left Ventricular - diagnostic imaging Hypertrophy, Left Ventricular - etiology Kidney Transplantation Pyelonephritis - therapy Renal Dialysis
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Zusammenfassung:	A 70-year-old woman, who undergoing hemodialysis due to chronic pyelonephritis, is reported. She suffered from dyspnea due to pulmonary artery hypertension secondary to volume overload as a complication of high-flow brachial AVF. The combined estimation of vascular access blood flow rate (QA) and systolic pulmonary artery pressure by noninvasive methods (ultrafiltration and Doppler echocardiography, respectively) allowed us the diagnosis, make a surgical indication and post-surgical follow-up of AVF with hemodynamic repercussion.
ISSN:	0211-6995