Arteriovenous fistula-associated high-output cardiac failure: a review of mechanisms

Am J Kidney Dis. 2004 May;43(5):e17-22. doi: 10.1053/j.ajkd.2004.01.016.


High-output cardiac failure can be a rare complication of high-output arteriovenous fistula. The authors present a case in which a hemodialysis patient with a high-flow arteriovenous fistula has cardiac failure that improves with fistula closure. The hemodynamic effects of a fistula are reviewed, and the hemodialysis literature regarding high-output cardiac failure is summarized. To gain insight into the problem of high-output cardiac failure, research efforts should focus on the prospective monitoring of high-access flows.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Arteriovenous Fistula / complications*
  • Cardiac Output, High / complications*
  • Heart Failure / etiology*
  • Hemodynamics
  • Humans
  • Male
  • Renal Dialysis*