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 › peer-review

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

ASJC Scopus subject areas

Nephrology
Critical Care and Intensive Care Medicine

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title = "Echocardiographic detection of cardiac effects of arterio-venous dialysis fistula",

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.",

author = "Canton, {A. Dal} and S. Maione and D. Russo and C. Teti and C. Serino and R. Gallo and Andreucci, {V. E.}",

year = "1981",

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language = "English",

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T1 - Echocardiographic detection of cardiac effects of arterio-venous dialysis fistula

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

Y1 - 1981

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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JO - Journal of Dialysis

JF - Journal of Dialysis

SN - 0886-022X

IS - 3

ER -

Echocardiographic detection of cardiac effects of arterio-venous dialysis fistula

Abstract

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