• Surgery today · Jan 1994

    Case Reports

    Banding a hemodialysis arteriovenous fistula to decrease blood flow and resolve high output cardiac failure: report of a case.

    • S Isoda, H Kajiwara, J Kondo, and A Matsumoto.
    • First Department of Surgery, Yokohama City University School of Medicine, Japan.
    • Surg. Today. 1994 Jan 1; 24 (8): 734-6.

    AbstractWe report herein the successful surgical treatment of a patient with high-output cardiac failure which developed from a high-flow hemodialysis arteriovenous fistula of the Brescia-Cimino type. Banding correction of the venous limb of the fistula with a woven Dacron prosthesis resulted in marked improvement of the cardiac failure. An ultrasonic study showed the fistula flow of 3.2 l/min to be as high as 40% of the resting cardiac output, or 8.0 l/min, before banding, while an intraoperative electromagnetic study was useful for controlling the degree of banding and showing the decrease of fistula flow from 3.7 l/min to 1.4 l/min.

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