An overview of the hemodynamic aspects of the blood flow in the venous outflow tract of the arteriovenous fistula
An overview of the hemodynamic aspects of the blood flow in the venous outflow tract of the arteriovenous fistula
J Vasc Access 2012; 13(3): 271 - 278
DOI:10.5301/jva.5000037
Authors
Efstratios I. Georgakarakos, Konstantinos C. Kapoulas, George S. Georgiadis, Adamantios S. Tsangaris, Evagelos S. Nikolopoulos, Miltos K. Lazarides
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.
Article History
- • Accepted on 28/11/2011
- • Available online on 09/01/2012
- • Published in print on 28/09/2012
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Authors
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Georgakarakos, Efstratios I. [PubMed] [Google Scholar]
Department of Vascular Surgery, “Democritus” University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis - Greece
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Kapoulas, Konstantinos C. [PubMed] [Google Scholar]
Department of Vascular Surgery, “Democritus” University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis - Greece
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Georgiadis, George S. [PubMed] [Google Scholar]
Department of Vascular Surgery, “Democritus” University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis - Greece
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Tsangaris, Adamantios S. [PubMed] [Google Scholar]
Undergraduate student, Athens University Medical School, Athens - Greece
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Nikolopoulos, Evagelos S. [PubMed] [Google Scholar]
Department of Vascular Surgery, “Democritus” University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis - Greece
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Lazarides, Miltos K. [PubMed] [Google Scholar]
Department of Vascular Surgery, “Democritus” University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis - Greece