INFLUENCE OF THE ARTERIOVENOUS FISTULA DIAMETER ON THE OCCURRENCE OF «HIGH FLOW SYNDROME» AND HEART FAILURE IN PATIENTS UNDERGOING PROGRAM HEMODIALYSIS
Abstract
Objective. To evaluate the frequency of high flow syndrome in patients receiving renal replacement therapy by program hemodialysis and its effect on the development of chronic heart failure depending on the diameter of the native arteriovenous fistula.
Material and methods. 39 patients with native permanent vascular access who were on program hemodialysis were examined. Group I (20 people) consisted of patients with an arteriovenous fistula (AVF) with the diameter of more than 2 cm; Group II (19 people) were patients with an arteriovenous fistula diameter of less than 2 cm.
Results. «High flow syndrome» (volumetric blood flow through the arteriovenous fistula more than 1.5 l/min) was observed in 16 patients of group I (80%), and in 3 patients (15.7%) in group II (the comparison group). The left atrium volume index in group I accounted to 39.65±2.3, in group II it was 30.4±0.8 (p=0.002). The ejection fraction in patients of both groups had no significant differences (55±0.84 and 57±0.77, respectively, p=0.5).
Conclusions.
- The main cause of the development of chronic heart failure with a preserved ejection fraction is diastolic dysfunction with impaired relaxation.
- Patients with aneurysmal dilation of the arteriovenous fistula are subject to in-depth examination in order to detect high flow syndrome and chronic heart failure.
About the Authors
A. V. Maksimov
ГАУЗ «Республиканская клиническая больница» Минздрава Республики Татарстан; ФГАОУ ВО «Казанский (Приволжский) федеральный университет»
Russian Federation
Russian Federation
A. K. Feiskhanov
ФГАОУ ВО «Казанский (Приволжский) федеральный университет»
Russian Federation
Russian Federation
D. V. Grigoryan
ФГАОУ ВО «Казанский (Приволжский) федеральный университет»
Russian Federation
Russian Federation
I. M. Sadreeva
ГАУЗ «Республиканская клиническая больница» Минздрава Республики Татарстан
Russian Federation
Russian Federation
A. A. Sadreeva
ФГАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова» Минздрава России
Russian Federation
Russian Federation
References
1. Clinical recommendations. Chronic kidney disease (CKD). Nephrology (Saint-Petersburg). 2021;25(5):10-82. (In Russ.)
2. Grinev K.M. Majstrenko D.N., Generalov M.I. [et al.] Chronic heart failure, associated with permanent arteriovenous access in patients who are on hemodialysis (diagnostics and monitoring). Bulletin of Pirogov National Medical & Surgical Center. 2016 ;(1):70-74. (In Russ).
3. Blanchard V, Courtellemont C, Cariou E, Fournier P, Lavie-Badie Y, Pascal P, Galinier M, Kamar N, Carrié D, Lairez O. Cardiac impact of arteriovenous fistulas: what tools to assess? Heart Vessels. 2020 Nov;35(11):1583-1593. (in Engl)
4. Saleh MA, El Kilany WM, Keddis VW, El Said TW. Effect of high flow arteriovenous fistula on cardiac function in hemodialysis patients. Egypt Heart J. 2018 Dec;70(4):337-341. (in Engl)
5. Sigala F, Kontis E, Saßen R, Mickley V. Autologous surgical reconstruction for true venous hemodialysis access aneurysms--techniques and results. J Vasc Access. 2014 Sep-Oct;15(5):370-5 (in Engl)
6. Poli FE, Gulsin GS, McCann GP, Burton JO, Graham-Brown MP. The assessment of coronary artery disease in patients with end-stage renal disease. Clin Kidney J. 2019 Aug 14;12(5):721-734. (in Engl)
Review
For citations:
Maksimov A.V., Feiskhanov A.K., Grigoryan D.V., Sadreeva I.M., Sadreeva A.A. INFLUENCE OF THE ARTERIOVENOUS FISTULA DIAMETER ON THE OCCURRENCE OF «HIGH FLOW SYNDROME» AND HEART FAILURE IN PATIENTS UNDERGOING PROGRAM HEMODIALYSIS. Bashkortostan Medical Journal. 2023;18(5):8-11. (In Russ.)
Views:
23
Email this article 
