PMID: 666472Jul 1, 1978Paper

Complications associated with arteriovenous fistulas in patients undergoing chronic hemodialysis

Archives of Internal Medicine
P A MennesH R Harter

Abstract

Over a two-year period, 100 venous angiograms were performed on 75 patients because of difficulty with vascular access. Seventy percent of the patients had decreased arterial flow or increased venous resistance. High output failure, sepsis, and aneurysm formation were also found. Venous angiography of the fistula demonstrated significant stenosis in 40% of the cases as well as total occlusion by thrombus in 9%, aneurysm formation in 7%, and abnormal fistula needle placement or anatomic abnormalities in 20% of the cases. Definitive diagnosis with the aid of venous angiography permitted specific surgical intervention in 62% of the cases, and identified new sites for needle placement in 18% of the cases, thus prolonging fistula life and reducing the need for new fistula placement. Our experience with local cellulitis of the fistula site and sepsis is also discussed.

Citations

Feb 1, 2008·Clinical Journal of the American Society of Nephrology : CJASN·Mohammed Al-GhonaimAlberta Kidney Disease Network
Jul 28, 2005·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·David BoshellSimon D Roger
May 1, 1993·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·D W Windus
Mar 21, 2007·Ophthalmology·Mehran TabanGregory S Kosmorsky
Oct 20, 1998·The Journal of Hospital Infection·Loreen A Herwaldt
Jun 1, 1979·Disease-a-month : DM·A S Bayer, L B Guze
Aug 8, 2015·Clinical Kidney Journal·Anna MudoniNicholas Inston
Dec 10, 2014·Vascular and Endovascular Surgery·Domenico ValentiMatthew Stephenson
Jan 1, 1988·International Urology and Nephrology·L LöcseyM Péter
Nov 13, 2004·Current Infectious Disease Reports·Philip M Polgreen, Loreen A Herwaldt
Oct 8, 2005·The Tohoku Journal of Experimental Medicine·Bayer CinarIbrahim Yekeler

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