Why the study?
Arterio-venous access is associated with improved survival but may affect heart function and worsen clinical status in some chronic kidney disease patients.
Design
Review article
Key result
Arteriovenous access significantly affects cardiovascular hemodynamics in dialysis patients, requiring individualized access selection based on cardiac status to prevent heart failure exacerbation.
Authors
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AV fistula may worsen heart function in select dialysis patients; leaves open optimal access selection and cardiac monitoring strategies.
This review highlights the cardiovascular hemodynamic effects of arterio-venous access in dialysis patients and provides individualized recommendations for vascular access selection to mitigate risks such as high-output heart failure.
Malík et al. (2020) conducted a review in End-stage renal disease. Arteriovenous access was evaluated. Arteriovenous access significantly affects cardiovascular hemodynamics in dialysis patients, requiring individualized access selection based on cardiac status to prevent heart failure exacerbation.