Long-Term Hemodialysis via Arteriovenous Fistula in Patients With Continuous-Flow Left Ventricular Assist Devices

2016 ◽  
Vol 40 (7) ◽  
pp. 712-712 ◽  
Author(s):  
Brandon W. Calenda ◽  
Jeffrey Smietana ◽  
Lisette Casagrande
Keyword(s):  
Arteriovenous Fistula ◽  
Continuous Flow ◽  
Left Ventricular ◽  
Ventricular Assist Devices ◽  
Left Ventricular Assist Devices ◽  
Ventricular Assist ◽  
Assist Devices ◽  
Left Ventricular Assist

Aortic regurgitation in continuous flow left ventricular assist devices for long-term use: a diagnostic and therapeutic challenge

2020 ◽  
Vol 73 (6) ◽  
pp. 508-510
Author(s):  
Amaia Martínez León ◽  
Beatriz Díaz Molina ◽  
José Alonso Domínguez ◽  
Jacobo Silva Guisasola ◽  
Jose Luis Lambert Rodríguez ◽  
...  
Keyword(s):  
Aortic Regurgitation ◽  
Continuous Flow ◽  
Left Ventricular ◽  
Ventricular Assist Devices ◽  
Left Ventricular Assist Devices ◽  
Ventricular Assist ◽  
Therapeutic Challenge ◽  
Assist Devices ◽  
Left Ventricular Assist

Arteriovenous fistula creation in a patient without a pulse: Vascular access in patients with left ventricular assist devices

2019 ◽  
Vol 20 (6) ◽  
pp. 760-762 ◽  
Author(s):  
Aurangzaib Khawaja ◽  
Hoong Sern Lim ◽  
Neil J Howell ◽  
Nicholas Inston
Keyword(s):  
Arteriovenous Fistula ◽  
Vascular Access ◽  
Continuous Flow ◽  
Left Ventricular ◽  
Ventricular Assist Devices ◽  
Left Ventricular Assist Devices ◽  
Ventricular Assist ◽  
Assist Devices ◽  
Arteriovenous Fistulas ◽  
Left Ventricular Assist

Left ventricular assist devices are used in heart failure patients as bridge to transplantation or increasingly as a destination therapy. These patients frequently have renal dysfunction and many reach end-stage renal failure. If haemodialysis is required, minimization of infection risk is essential. Arteriovenous grafts have been recommended for these patients due to hypothetical concerns regarding fistula maturation due to continuous flow. A case is described where a brachiocephalic arteriovenous fistula was successfully formed and used for dialysis without issue. This is one case of a small number in the literature where arteriovenous fistulas have been used in left ventricular assist device patients and it appears that concerns are unfounded and good outcomes have been reported. It would appear from this experience that approaches to vascular access for dialysis in patients with continuous-flow left ventricular assist devices are in accordance with vascular access guidelines and standard practice.

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