Successful Hemodialysis Arteriovenous Fistula Creation in a Patient With Continuous-Flow Left Ventricular Assist Device Support

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Heart failure necessitating left ventricular assist device (LVAD) support can lead to kidney failure requiring dialysis. Some of these patients may require long-term hemodialysis (HD). Optimal vascular access for a patient on long-term HD therapy with an LVAD remains a complex issue. The majority of LVADs are of the continuous-flow type, and it has been theorized that native arteriovenous fistula maturation may be impaired in a setting of decreased pulsatile arterial flow. We describe a case of successful creation and use of an arteriovenous fistula in an HD-dependent patient with a continuous-flow LVAD.

Original languageEnglish (US)
Pages (from-to)314-316
Number of pages3
JournalAmerican Journal of Kidney Diseases
Volume69
Issue number2
DOIs
StatePublished - Feb 1 2017

Keywords

  • arteriovenous fistula (AVF)
  • case report
  • dialysis access
  • end-stage renal disease
  • heart failure
  • hemodialysis
  • Left ventricular assist device (LVAD)
  • vascular access

ASJC Scopus subject areas

  • Nephrology

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