Assessment of left ventricular mass changes after arteriovenous fistula surgical banding in end-stage renal disease
Left ventricular hypertrophy (LVH) is a multifactorial complication frequently seen in patients with advanced chronic kidney disease. An arteriovenous fistula (AVF) is the preferred method for hemodialysis access. Once functional, AVFs demonstrate better patency rates and fewer complications when co...
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Wolters Kluwer Medknow Publications
2018-01-01
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Series: | Saudi Journal of Kidney Diseases and Transplantation |
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doaj-10021c798b784fcbbe18293a63a5b7482020-11-24T21:05:41ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24422018-01-012961280128910.4103/1319-2442.248299Assessment of left ventricular mass changes after arteriovenous fistula surgical banding in end-stage renal diseaseCamilo CortesiJuan C DuqueSedki MaiLaisel MartinezAdriana DejmanRoberto Vazquez-PadronLoay SalmanMarwan TabbaraLeft ventricular hypertrophy (LVH) is a multifactorial complication frequently seen in patients with advanced chronic kidney disease. An arteriovenous fistula (AVF) is the preferred method for hemodialysis access. Once functional, AVFs demonstrate better patency rates and fewer complications when compared to other forms of vascular access. AVFs have been implicated in cardiac remodeling, but it is controversial whether those changes can be reversed by surgical ligation or blood flow reduction. In this study, we describe a cohort of asymptomatic patients with LVH who underwent AVF banding with a two-dimensional-echocardiogram done before and after the intervention to evaluate the association between AVF surgical banding and left ventricular mass (LVM) changes. Our results show that AVF surgical banding did not alter the left ventricular mass index (LVMI) with a mean prebanding LVMI of 70.3 ± 57.5 g/m2 and mean postbanding LVMI of 81.9 ± 55.9 g/m2, (P = 0.4). Our study shows that AVF flow reduction by surgical banding did not alter LVMI, and therefore LVH, in end-stage renal disease patients who have not yet shown clinical manifestations of cardiac disease.http://www.sjkdt.org/article.asp?issn=1319-2442;year=2018;volume=29;issue=6;spage=1280;epage=1289;aulast=Cortesi |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Camilo Cortesi Juan C Duque Sedki Mai Laisel Martinez Adriana Dejman Roberto Vazquez-Padron Loay Salman Marwan Tabbara |
spellingShingle |
Camilo Cortesi Juan C Duque Sedki Mai Laisel Martinez Adriana Dejman Roberto Vazquez-Padron Loay Salman Marwan Tabbara Assessment of left ventricular mass changes after arteriovenous fistula surgical banding in end-stage renal disease Saudi Journal of Kidney Diseases and Transplantation |
author_facet |
Camilo Cortesi Juan C Duque Sedki Mai Laisel Martinez Adriana Dejman Roberto Vazquez-Padron Loay Salman Marwan Tabbara |
author_sort |
Camilo Cortesi |
title |
Assessment of left ventricular mass changes after arteriovenous fistula surgical banding in end-stage renal disease |
title_short |
Assessment of left ventricular mass changes after arteriovenous fistula surgical banding in end-stage renal disease |
title_full |
Assessment of left ventricular mass changes after arteriovenous fistula surgical banding in end-stage renal disease |
title_fullStr |
Assessment of left ventricular mass changes after arteriovenous fistula surgical banding in end-stage renal disease |
title_full_unstemmed |
Assessment of left ventricular mass changes after arteriovenous fistula surgical banding in end-stage renal disease |
title_sort |
assessment of left ventricular mass changes after arteriovenous fistula surgical banding in end-stage renal disease |
publisher |
Wolters Kluwer Medknow Publications |
series |
Saudi Journal of Kidney Diseases and Transplantation |
issn |
1319-2442 |
publishDate |
2018-01-01 |
description |
Left ventricular hypertrophy (LVH) is a multifactorial complication frequently seen in patients with advanced chronic kidney disease. An arteriovenous fistula (AVF) is the preferred method for hemodialysis access. Once functional, AVFs demonstrate better patency rates and fewer complications when compared to other forms of vascular access. AVFs have been implicated in cardiac remodeling, but it is controversial whether those changes can be reversed by surgical ligation or blood flow reduction. In this study, we describe a cohort of asymptomatic patients with LVH who underwent AVF banding with a two-dimensional-echocardiogram done before and after the intervention to evaluate the association between AVF surgical banding and left ventricular mass (LVM) changes. Our results show that AVF surgical banding did not alter the left ventricular mass index (LVMI) with a mean prebanding LVMI of 70.3 ± 57.5 g/m2 and mean postbanding LVMI of 81.9 ± 55.9 g/m2, (P = 0.4). Our study shows that AVF flow reduction by surgical banding did not alter LVMI, and therefore LVH, in end-stage renal disease patients who have not yet shown clinical manifestations of cardiac disease. |
url |
http://www.sjkdt.org/article.asp?issn=1319-2442;year=2018;volume=29;issue=6;spage=1280;epage=1289;aulast=Cortesi |
work_keys_str_mv |
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