Cargando…
Most Important Chronic Complications of Arteriovenous Fistulas for Hemodialysis
The aim of this review was to highlight the most important complications of arteriovenous fistulas (AVFs) for hemodialysis (HD). The quality of vascular access for HD should be suitable for repeated puncture and allow a high blood flow rate for high-efficiency dialysis with minimal complications. Th...
Autor principal: | |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5586732/ https://www.ncbi.nlm.nih.gov/pubmed/23128647 http://dx.doi.org/10.1159/000343669 |
_version_ | 1783261862748487680 |
---|---|
author | Stolic, Radojica |
author_facet | Stolic, Radojica |
author_sort | Stolic, Radojica |
collection | PubMed |
description | The aim of this review was to highlight the most important complications of arteriovenous fistulas (AVFs) for hemodialysis (HD). The quality of vascular access for HD should be suitable for repeated puncture and allow a high blood flow rate for high-efficiency dialysis with minimal complications. The dialysis staff must be well versed in manipulation of the AVF, and there should be a minimal need for corrective interventions. Construction of an AVF creates conditions for increasing the flow of blood through the venous system. Fulfillment of these conditions reduces the risk of turbulence and endothelium injury, which, in turn, minimizes the potential for stenosis. An AVF is closest to the ideal model of vascular access. The most important complications of fistulae for HD are lymphedema, infection, aneurysm, stenosis, congestive heart failure, steal syndrome, ischemic neuropathy and thrombosis. In HD patients, the most common cause of vascular access failure is neointimal hyperplasia. It is important to gain information about early clinical symptoms of AVF dysfunction in order to prevent and adequately treat potential complications. |
format | Online Article Text |
id | pubmed-5586732 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-55867322017-11-01 Most Important Chronic Complications of Arteriovenous Fistulas for Hemodialysis Stolic, Radojica Med Princ Pract Review The aim of this review was to highlight the most important complications of arteriovenous fistulas (AVFs) for hemodialysis (HD). The quality of vascular access for HD should be suitable for repeated puncture and allow a high blood flow rate for high-efficiency dialysis with minimal complications. The dialysis staff must be well versed in manipulation of the AVF, and there should be a minimal need for corrective interventions. Construction of an AVF creates conditions for increasing the flow of blood through the venous system. Fulfillment of these conditions reduces the risk of turbulence and endothelium injury, which, in turn, minimizes the potential for stenosis. An AVF is closest to the ideal model of vascular access. The most important complications of fistulae for HD are lymphedema, infection, aneurysm, stenosis, congestive heart failure, steal syndrome, ischemic neuropathy and thrombosis. In HD patients, the most common cause of vascular access failure is neointimal hyperplasia. It is important to gain information about early clinical symptoms of AVF dysfunction in order to prevent and adequately treat potential complications. S. Karger AG 2013-03 2012-11-02 /pmc/articles/PMC5586732/ /pubmed/23128647 http://dx.doi.org/10.1159/000343669 Text en Copyright © 2012 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Distribution permitted for non-commercial purposes only. |
spellingShingle | Review Stolic, Radojica Most Important Chronic Complications of Arteriovenous Fistulas for Hemodialysis |
title | Most Important Chronic Complications of Arteriovenous Fistulas for Hemodialysis |
title_full | Most Important Chronic Complications of Arteriovenous Fistulas for Hemodialysis |
title_fullStr | Most Important Chronic Complications of Arteriovenous Fistulas for Hemodialysis |
title_full_unstemmed | Most Important Chronic Complications of Arteriovenous Fistulas for Hemodialysis |
title_short | Most Important Chronic Complications of Arteriovenous Fistulas for Hemodialysis |
title_sort | most important chronic complications of arteriovenous fistulas for hemodialysis |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5586732/ https://www.ncbi.nlm.nih.gov/pubmed/23128647 http://dx.doi.org/10.1159/000343669 |
work_keys_str_mv | AT stolicradojica mostimportantchroniccomplicationsofarteriovenousfistulasforhemodialysis |