Reversal of pulmonary hypertension after ligation of a brachiocephalic arteriovenous fistula

被引:48
作者
Clarkson, MR
Giblin, L
Brown, A
Little, D
Donohoe, J
机构
[1] Brigham & Womens Hosp, Div Renal, Dept Med, Boston, MA 02115 USA
[2] Beaumont Hosp, Dept Nephrol & Transplantat, Dublin 9, Ireland
[3] Beaumont Hosp, Dept Cardiol, Dublin 9, Ireland
[4] Beaumont Hosp, Dept Urol & Transplant Surg, Dublin 9, Ireland
关键词
hemodialysis (HD); arteriovenous (AV) fistula; pulmonary hypertension;
D O I
10.1053/ajkd.2002.34932
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
The arteriovenous (AV) fistula Is the access method of choice for long-term hemodialysis according to DOQI guidelines. Among the recognized complications of upper extremity AV fistulae fashioned for hemodialysis are Infection, aneurysm formation, and high-output left ventricular failure. We describe a novel cardiopulmonary complication-secondary pulmonary hypertension resulting from an aneurysmal brachiocephalic AV fistula. The clinical presentation, Investigation, management, and pathophysiology of this complication are discussed. (C) 2002 by the National Kidney Foundation, Inc.
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页数:4
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