Intraoperative Ultrasound Guidance for Banding of an Arteriovenous Fistula Causing High Cardiac Output Heart Failure

The creation of an arteriovenous fistula (AVF) is the preferred mode of access for hemodialysis in patients with End-Stage Renal Disease (ESRD). High output cardiac failure is a known but rare complication of AVF resulting from high flow volume. This case report describes the use of intraoperative ultrasound as a guide for banding of an AVF to decrease flow volume in a patient with high cardiac output failure. The access was preserved and a gradual decline of cardiac function before and recovery after banding is demonstrated over an 18-year period.

Source: Annals of Vascular Surgery - December 17, 2019 Category: Surgery Authors: Anthony D. Turner, Michael Chen, Neera Dahl, Leslie Scoutt, Alan Dardik, Cassius Iyad Ochoa Chaar Tags: Case Report Source Type: research