The pros and cons of preserving a functioning arteriovenous fistula after kidney transplantation.
J Vasc Access
; 17 Suppl 1: S16-22, 2016 Mar.
Article
en En
| MEDLINE
| ID: mdl-26951898
ABSTRACT
The autologous arteriovenous fistula (AVF) for hemodialysis burdens the cardiovascular system with increased cardiac output and pulmonary artery pressure, increasing cardiovascular risk. This article reviews literature on the benefits and drawbacks of a functioning AVF after kidney transplantation and discusses the cardiovascular effects of AVF closure. Several cohort studies demonstrate a significant cardiac burden of an AVF and improvement of cardiac dimensions after AVF ligation. However, no randomized trials have been conducted on routine AVF closure after successful kidney transplantation. Therefore, clinical trials are warranted to evaluate whether the cardiovascular benefits of routine AVF closure outweigh the potential harm for patients after successful kidney transplantation.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Derivación Arteriovenosa Quirúrgica
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Diálisis Renal
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Trasplante de Riñón
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Enfermedades Renales
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
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Etiology_studies
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Observational_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
J Vasc Access
Asunto de la revista:
ANGIOLOGIA
Año:
2016
Tipo del documento:
Article