Isoda S, Kajiwara H, Kondo J, Matsumoto A
First Department of Surgery, Yokohama City University School of Medicine, Japan.
Surg Today. 1994;24(8):734-6. doi: 10.1007/BF01636780.
We report herein the successful surgical treatment of a patient with high-output cardiac failure which developed from a high-flow hemodialysis arteriovenous fistula of the Brescia-Cimino type. Banding correction of the venous limb of the fistula with a woven Dacron prosthesis resulted in marked improvement of the cardiac failure. An ultrasonic study showed the fistula flow of 3.2 l/min to be as high as 40% of the resting cardiac output, or 8.0 l/min, before banding, while an intraoperative electromagnetic study was useful for controlling the degree of banding and showing the decrease of fistula flow from 3.7 l/min to 1.4 l/min.
我们在此报告一名因布雷斯西亚 - 奇米诺型高流量血液透析动静脉瘘引发高输出量心力衰竭患者的成功手术治疗案例。使用编织涤纶人工血管对瘘管的静脉段进行束带矫正后，心力衰竭症状显著改善。超声检查显示，瘘管血流量在束带矫正前为3.2升/分钟，高达静息心输出量（即8.0升/分钟）的40%，而术中电磁检查有助于控制束带矫正程度，并显示瘘管血流量从3.7升/分钟降至1.4升/分钟。
