| Complications of arteriovenous hemodialysis access: recognition and management. | |
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MedLine Citation:
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PMID: 19000594 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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English language citations reporting complications of arteriovenous access for hemodialysis are critically reviewed and discussed. Venous hypertension, arterial steal syndrome, and high-output cardiac failure occur as a result of hemodynamic alterations potentiated by access flow. Uremic and diabetic neuropathies are common but may obfuscate recognition of potentially correctable problems such as compression or ischemic neuropathy. Mechanical complications include pseudoaneurysm, which may develop from a puncture hematoma, degeneration of the wall, or infection. Dysfunctional hemostasis, hemorrhage, noninfectious fluid collections, and access-related infections are, in part, manifestations of the adverse effects of uremia on the function of circulating hematologic elements. Impaired erythropoiesis is successfully managed with hormonal stimulation; perhaps, similar therapies can be devised to reverse platelet and leukocyte dysfunction and reduce bleeding and infectious complications. |
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Authors:
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Frank T Padberg; Keith D Calligaro; Anton N Sidawy |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of vascular surgery Volume: 48 ISSN: 1097-6809 ISO Abbreviation: J. Vasc. Surg. Publication Date: 2008 Nov |
Date Detail:
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Created Date: 2008-11-12 Completed Date: 2008-12-02 Revised Date: 2012-10-03 |
Medline Journal Info:
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Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 55S-80S Citation Subset: IM |
Affiliation:
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Department of Surgery, Section of Vascular Surgery, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, USA. padbergjr@aol.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Arteriovenous Shunt, Surgical
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adverse effects* Humans Postoperative Complications / diagnosis*, therapy* Renal Dialysis / methods* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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