Echocardiographic detection of cardiac effects of arterio-venous dialysis fistula

A. Dal Canton; S. Maione; D. Russo; C. Teti; C. Serino; R. Gallo; V. E. Andreucci

doi:10.3109/08860228109076018

Echocardiographic detection of cardiac effects of arterio-venous dialysis fistula

A. Dal Canton, S. Maione, D. Russo, C. Teti, C. Serino, R. Gallo, V. E. Andreucci

IRCCS Fondazione Policlinico San Matteo

Research output: Contribution to journal › Article

Abstract

The effects of the dialysis fistula were evaluated by echocardiography in 10 patients with terminal renal failure. Echocardiography was performed the day before creation of the fistula (E₀) and was then repeated 24 hours after surgery (E₁), the day before the first dialysis (E₂), the day following the fourth dialysis (E₃) and, finally, after 6 months of RDT (E₄). Left ventricular internal diameter was measured both in diastole (LVID_d) and in systole (LVID_s), allowing calculation of ventricular diameter percent shortening (LVID%), of ventricular diastolic (EDV) and systolic volume (ESV). In E₁ the fistula caused a significant increase in LVID_d, accounting for a rise also in EDV. This ventricular dilation persisted in E₂, but was abolished in E₃ and in E₄. LVID_s, ESV, and LVID% were unmodified troughout the study. These results show that the dialysis fistula causes an immediate rise in cardiac pre-load, which is rapidly reversed by RDT.

Original language	English
Pages (from-to)	259-267
Number of pages	9
Journal	Renal Failure
Volume	5
Issue number	3
DOIs	https://doi.org/10.3109/08860228109076018
Publication status	Published - 1981

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ASJC Scopus subject areas

Nephrology
Critical Care and Intensive Care Medicine

Cite this

Canton, A. D., Maione, S., Russo, D., Teti, C., Serino, C., Gallo, R., & Andreucci, V. E. (1981). Echocardiographic detection of cardiac effects of arterio-venous dialysis fistula. Renal Failure, 5(3), 259-267. https://doi.org/10.3109/08860228109076018

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abstract = "The effects of the dialysis fistula were evaluated by echocardiography in 10 patients with terminal renal failure. Echocardiography was performed the day before creation of the fistula (E0) and was then repeated 24 hours after surgery (E1), the day before the first dialysis (E2), the day following the fourth dialysis (E3) and, finally, after 6 months of RDT (E4). Left ventricular internal diameter was measured both in diastole (LVIDd) and in systole (LVIDs), allowing calculation of ventricular diameter percent shortening (LVID%), of ventricular diastolic (EDV) and systolic volume (ESV). In E1 the fistula caused a significant increase in LVIDd, accounting for a rise also in EDV. This ventricular dilation persisted in E2, but was abolished in E3 and in E4. LVIDs, ESV, and LVID% were unmodified troughout the study. These results show that the dialysis fistula causes an immediate rise in cardiac pre-load, which is rapidly reversed by RDT.",

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AU - Canton, A. Dal

AU - Maione, S.

AU - Russo, D.

AU - Teti, C.

AU - Serino, C.

AU - Gallo, R.

AU - Andreucci, V. E.

PY - 1981

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N2 - The effects of the dialysis fistula were evaluated by echocardiography in 10 patients with terminal renal failure. Echocardiography was performed the day before creation of the fistula (E0) and was then repeated 24 hours after surgery (E1), the day before the first dialysis (E2), the day following the fourth dialysis (E3) and, finally, after 6 months of RDT (E4). Left ventricular internal diameter was measured both in diastole (LVIDd) and in systole (LVIDs), allowing calculation of ventricular diameter percent shortening (LVID%), of ventricular diastolic (EDV) and systolic volume (ESV). In E1 the fistula caused a significant increase in LVIDd, accounting for a rise also in EDV. This ventricular dilation persisted in E2, but was abolished in E3 and in E4. LVIDs, ESV, and LVID% were unmodified troughout the study. These results show that the dialysis fistula causes an immediate rise in cardiac pre-load, which is rapidly reversed by RDT.

AB - The effects of the dialysis fistula were evaluated by echocardiography in 10 patients with terminal renal failure. Echocardiography was performed the day before creation of the fistula (E0) and was then repeated 24 hours after surgery (E1), the day before the first dialysis (E2), the day following the fourth dialysis (E3) and, finally, after 6 months of RDT (E4). Left ventricular internal diameter was measured both in diastole (LVIDd) and in systole (LVIDs), allowing calculation of ventricular diameter percent shortening (LVID%), of ventricular diastolic (EDV) and systolic volume (ESV). In E1 the fistula caused a significant increase in LVIDd, accounting for a rise also in EDV. This ventricular dilation persisted in E2, but was abolished in E3 and in E4. LVIDs, ESV, and LVID% were unmodified troughout the study. These results show that the dialysis fistula causes an immediate rise in cardiac pre-load, which is rapidly reversed by RDT.

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10.3109/08860228109076018