Clinical and Haemodynamic Effects of Arteriovenous Shunts in Patients with Heart Failure with Preserved Ejection Fraction

The arteriovenous shunt (AVS) is the most commonly used vascular access in patients receiving regular haemodialysis. The AVS may have a significant haemodynamic impact on patients with heart failure. Many studies have sought to understand the effect of AVS creation or closure on heart structure and...

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Main Authors: Medhat Soliman, Nizar Attallah, Houssam Younes, Woo Sup Park, Feras Bader
Format: Article
Language:English
Published: Radcliffe Medical Media 2022-02-01
Series:Cardiac Failure Review
Online Access:https://www.cfrjournal.com/articleindex/cfr.2021.12
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author Medhat Soliman
Nizar Attallah
Houssam Younes
Woo Sup Park
Feras Bader
author_facet Medhat Soliman
Nizar Attallah
Houssam Younes
Woo Sup Park
Feras Bader
author_sort Medhat Soliman
collection DOAJ
description The arteriovenous shunt (AVS) is the most commonly used vascular access in patients receiving regular haemodialysis. The AVS may have a significant haemodynamic impact on patients with heart failure. Many studies have sought to understand the effect of AVS creation or closure on heart structure and functions, most of which use non-invasive methods, such as echocardiography or cardiac MRI. Data are mainly focused on heart failure with reduced ejection fraction and there are limited data on heart failure with preserved ejection fraction. The presence of an AVS has a significant haemodynamic impact on the cardiovascular system and it is a common cause of high-output cardiac failure. Given that most studies to date use non-invasive methods, invasive assessment of the haemodynamic effects of the AVS using a right heart catheter may provide additional valuable information.
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institution OA Journals
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publishDate 2022-02-01
publisher Radcliffe Medical Media
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series Cardiac Failure Review
spelling doaj-art-55ee6ca98f644273beb0eeba94130c592025-08-20T02:37:47ZengRadcliffe Medical MediaCardiac Failure Review2057-75402057-75592022-02-01810.15420/cfr.2021.12Clinical and Haemodynamic Effects of Arteriovenous Shunts in Patients with Heart Failure with Preserved Ejection FractionMedhat Soliman0Nizar Attallah1Houssam Younes2Woo Sup Park3Feras Bader4Heart and Vascular Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab EmiratesNephrology and Renal Transplant Department, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab EmiratesHeart and Vascular Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab EmiratesHeart and Vascular Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab EmiratesHeart and Vascular Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab EmiratesThe arteriovenous shunt (AVS) is the most commonly used vascular access in patients receiving regular haemodialysis. The AVS may have a significant haemodynamic impact on patients with heart failure. Many studies have sought to understand the effect of AVS creation or closure on heart structure and functions, most of which use non-invasive methods, such as echocardiography or cardiac MRI. Data are mainly focused on heart failure with reduced ejection fraction and there are limited data on heart failure with preserved ejection fraction. The presence of an AVS has a significant haemodynamic impact on the cardiovascular system and it is a common cause of high-output cardiac failure. Given that most studies to date use non-invasive methods, invasive assessment of the haemodynamic effects of the AVS using a right heart catheter may provide additional valuable information.https://www.cfrjournal.com/articleindex/cfr.2021.12
spellingShingle Medhat Soliman
Nizar Attallah
Houssam Younes
Woo Sup Park
Feras Bader
Clinical and Haemodynamic Effects of Arteriovenous Shunts in Patients with Heart Failure with Preserved Ejection Fraction
Cardiac Failure Review
title Clinical and Haemodynamic Effects of Arteriovenous Shunts in Patients with Heart Failure with Preserved Ejection Fraction
title_full Clinical and Haemodynamic Effects of Arteriovenous Shunts in Patients with Heart Failure with Preserved Ejection Fraction
title_fullStr Clinical and Haemodynamic Effects of Arteriovenous Shunts in Patients with Heart Failure with Preserved Ejection Fraction
title_full_unstemmed Clinical and Haemodynamic Effects of Arteriovenous Shunts in Patients with Heart Failure with Preserved Ejection Fraction
title_short Clinical and Haemodynamic Effects of Arteriovenous Shunts in Patients with Heart Failure with Preserved Ejection Fraction
title_sort clinical and haemodynamic effects of arteriovenous shunts in patients with heart failure with preserved ejection fraction
url https://www.cfrjournal.com/articleindex/cfr.2021.12
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