Arteriovenous Fistula Toxicity

被引:42
作者
Amerling, Richard [1 ,2 ]
Ronco, Claudio [3 ]
Kuhlmann, Martin [4 ]
Winchester, James F. [1 ]
机构
[1] Beth Israel Deaconess Med Ctr, Div Nephrol & Hypertens, New York, NY 10003 USA
[2] Vivantes Klinikum Friedrichshain, Dept Internal Med Nephrol, Berlin, Germany
[3] Hosp St Bortolo, Div Nephrol & Transplantat, Vicenza, Italy
[4] Free Univ Berlin, Dept Nephrol, D-1000 Berlin, Germany
关键词
Arteriovenous fistula; Hemodialysis; Vascular access; Cardiovascular mortality; OUTPUT CARDIAC-FAILURE; PULMONARY-HYPERTENSION; HEMODIALYSIS-PATIENTS; DIALYSIS OUTCOMES; PRACTICE PATTERNS; DISEASE; MORTALITY;
D O I
10.1159/000322695
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The arteriovenous fistula (AVF) has been a mainstay of hemodialysis treatments and the preferred access route since its inception in the 1960s, due to its longevity and resistance to infection. However, the AVF is not benign. There is significant primary failure, as well as cardiac, vascular, and other, less well recognized, complications. Together, they represent toxicity, to which considerable morbidity and mortality can be attached. Official policy, based on guidelines where AVF toxicity is given short shrift, drives an increase in use of these devices, and may have undesired consequences. Copyright (C) 2011 S. Karger AG, Basel
引用
收藏
页码:113 / 120
页数:8
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