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Abstract
RÉSUMÉ
L'hyper débit de fistule artérioveineuse pour hémodialyse est défini par un débit au niveau de la fistule supérieure à 1,5 litres par minute. Elle est souvent à l’origine, non seulement de complications en aval de l’anastomose a type de complications ischémiques de sévérité variable, mais également de complications au niveau central a type d’insuffisance cardiaque. La certitude diagnostique est alors obtenue grâce à l’échographie de la fistule artérioveineuse et grâce à une échographie cardiaque. Nous rapportons un cas d'hyperdébit de fistule artérioveineuse pour hémodialyse au pli du coude.
ABSTRACT
Overflow of arteriovenous fistula for haemodialysis is defined by a flow rate at the fistula of more than 1.5 litres per minute. It is often the cause not only of complications downstream of the anastomosis such as ischaemic complications of varying severity, but also of central complications such as heart failure. Diagnostic certainty is then obtained by ultrasound of the arteriovenous fistula and by cardiac ultrasound. We report a case of arteriovenous fistula hyperflow for haemodialysis at the elbow.
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References
- Al-Jaishi AA, Liu AR, Lok CE, Zhang JC, Moist LM. Complications of the Arteriovenous Fistula: A Systematic Review. J Am Soc Nephrol. 2017 Jun;28(6):1839-1850. doi: 10.1681/ASN.2016040412. Epub 2016 Dec 28. PMID: 28031406; PMCID: PMC5461784.
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- Miller GA, Hwang WW. Challenges and management of high-flow arteriovenous fistulae. Semin Nephrol. 2012 Nov;32(6):545-50. doi: 10.1016/j.semnephrol.2012.10.005. PMID: 23217334.
- Sequeira A, Tan TW. Complications of a High-flow Access and Its Management. Semin Dial. 2015 Sep-Oct;28(5):533-43. doi: 10.1111/sdi.12366. Epub 2015 Mar 23. PMID: 25808428.
- Jiber H, Zrihni Y, Zaghloul R, Hajji R, Zizi O, Bouarhroum A. Prise en charge des complications des fistules artério-veineuses pour hémodialyse chronique [Management of complications of arteriovenous fistulas for chronic hemodialysis]. Pan Afr Med J. 2015 Mar 5;20:202. French. doi: 10.11604/pamj.2015.20.202.3617. PMID: 26113933; PMCID: PMC4470408.
- Martínez-Gallardo R, Ferreira-Morong F, García-Pino G, et al. Congestive heart failure in patients with advanced chronic kidney disease: association with pre-emptive vascular access placement. Nefrologia 2012; 32:206.
- Malik J, Tuka V, Kasalova Z, et al. Understanding the dialysis access steal syndrome. A review of the etiologies, diagnosis, prevention and treatment strategies. J Vasc Access 2008; 9:155.
- Inston N, Schanzer H, Widmer M, et al. Arteriovenous access ischemic steal (AVAIS) in haemodialysis: a consensus from the Charing Cross Vascular Access Masterclass 2016. J Vasc Access 2017; 18:3.
- Davidson I, Beathard G, Gallieni M, Ross J. The DRIL procedure for arteriovenous access ischemic steal: a controversial approach. J Vasc Access 2017; 18:1.
References
Al-Jaishi AA, Liu AR, Lok CE, Zhang JC, Moist LM. Complications of the Arteriovenous Fistula: A Systematic Review. J Am Soc Nephrol. 2017 Jun;28(6):1839-1850. doi: 10.1681/ASN.2016040412. Epub 2016 Dec 28. PMID: 28031406; PMCID: PMC5461784.
Jindal K, Chan CT, Deziel C, Hirsch D, Soroka SD, Tonelli M, Culleton BF; Canadian Society of Nephrology Committee for Clinical Practice Guidelines. Hemodialysis clinical practice guidelines for the Canadian Society of Nephrology. J Am Soc Nephrol. 2006 Mar;17(3 Suppl 1):S1-27. doi: 10.1681/ASN.2005121372. PMID: 16497879.
Miller GA, Hwang WW. Challenges and management of high-flow arteriovenous fistulae. Semin Nephrol. 2012 Nov;32(6):545-50. doi: 10.1016/j.semnephrol.2012.10.005. PMID: 23217334.
Sequeira A, Tan TW. Complications of a High-flow Access and Its Management. Semin Dial. 2015 Sep-Oct;28(5):533-43. doi: 10.1111/sdi.12366. Epub 2015 Mar 23. PMID: 25808428.
Jiber H, Zrihni Y, Zaghloul R, Hajji R, Zizi O, Bouarhroum A. Prise en charge des complications des fistules artério-veineuses pour hémodialyse chronique [Management of complications of arteriovenous fistulas for chronic hemodialysis]. Pan Afr Med J. 2015 Mar 5;20:202. French. doi: 10.11604/pamj.2015.20.202.3617. PMID: 26113933; PMCID: PMC4470408.
Martínez-Gallardo R, Ferreira-Morong F, García-Pino G, et al. Congestive heart failure in patients with advanced chronic kidney disease: association with pre-emptive vascular access placement. Nefrologia 2012; 32:206.
Malik J, Tuka V, Kasalova Z, et al. Understanding the dialysis access steal syndrome. A review of the etiologies, diagnosis, prevention and treatment strategies. J Vasc Access 2008; 9:155.
Inston N, Schanzer H, Widmer M, et al. Arteriovenous access ischemic steal (AVAIS) in haemodialysis: a consensus from the Charing Cross Vascular Access Masterclass 2016. J Vasc Access 2017; 18:3.
Davidson I, Beathard G, Gallieni M, Ross J. The DRIL procedure for arteriovenous access ischemic steal: a controversial approach. J Vasc Access 2017; 18:1.