Clarkson Michael Robert, Giblin Louise, Brown Angie, Little Dillie, Donohoe John
Renal Division, Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA.
Am J Kidney Dis. 2002 Sep;40(3):E8. doi: 10.1053/ajkd.2002.34932.
The arteriovenous (AV) fistula is the access method of choice for long-term hemodialysis according to DOQI guidelines. Among the recognized complications of upper extremity AV fistulae fashioned for hemodialysis are infection, aneurysm formation, and high-output left ventricular failure. We describe a novel cardiopulmonary complication--secondary pulmonary hypertension resulting from an aneurysmal brachiocephalic AV fistula. The clinical presentation, investigation, management, and pathophysiology of this complication are discussed.
根据美国肾脏病基金会透析患者临床实践指南（DOQI），动静脉（AV）内瘘是长期血液透析的首选血管通路。上肢动静脉内瘘用于血液透析时，公认的并发症包括感染、动脉瘤形成和高输出量左心室衰竭。我们描述了一种新型心肺并发症——由头臂动静脉瘤样内瘘导致的继发性肺动脉高压。本文讨论了该并发症的临床表现、检查、处理及病理生理学。
