An overview of the hemodynamic aspects of the blood flow in the venous outflow tract of the arteriovenous fistula

Efstratios I. Georgakarakos, Konstantinos C. Kapoulas, George S. Georgiadis, Adamantios Tsangaris, Evagelos S. Nikolopoulos, Miltos K. Lazarides

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

Abstract

Upper limb vein aneurysms complicate all types of autogenous arteriovenous fistulae (AVF) and comprise false aneurysms secondary to venipuncture trauma as well as true aneurysms, characterized by dilatation of native veins. The dilatation of a normal vein and the development of a true aneurysm are strongly influenced by local hemodynamic factors affecting the flow in the drainage venous system and are also the target of operative interventions. This review article focuses on the description of these hemodynamic aspects which all physicians involved in the management of dialysis patients should be aware of. Furthermore, it delineates their complicated interactions and also highlights their utility in clinical decision- making and therapeutic management.

Original languageEnglish (US)
Pages (from-to)271-278
Number of pages8
JournalJournal of Vascular Access
Volume13
Issue number3
DOIs
StatePublished - Jul 1 2012
Externally publishedYes

Keywords

  • Arteriovenous fistula
  • Hemodynamics
  • Venous aneurysm
  • Venous hypertension

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