Native Arteriovenous Fistula Creation in Patients With Continuous Flow Left Ventricular Assist Devices: A Case Report and a Narrative Review

Worsening of kidney function after left ventricular assist device (LVAD) implantation is common, and many patients reaching end-stage kidney disease require long-term dialysis. Permanent vascular access in a patient with LVAD remains a clinical dilemma. There is a theoretical concern about the matur...

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Detalles Bibliográficos
Autores principales: Aldhaheri, Fahmi A, Koussayer, Samer, Khail, Bassam, Abedrabo, Wesam, Ubaid Ullah, Muhammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Nephrology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10506624/
https://www.ncbi.nlm.nih.gov/pubmed/37727192
http://dx.doi.org/10.7759/cureus.43751
Descripción
Sumario:Worsening of kidney function after left ventricular assist device (LVAD) implantation is common, and many patients reaching end-stage kidney disease require long-term dialysis. Permanent vascular access in a patient with LVAD remains a clinical dilemma. There is a theoretical concern about the maturation of the arteriovenous fistula in a patient with LVAD due to the absence of a pulsatile flow in these patients. We described a case of successful creation of a left brachial-cephalic AVF in a patient with continuous flow LVAD (Abbott's HeartMate 3TM), which was used for dialysis without issue.

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