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  Tuesday, 27 March 2012
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60 Y WF with CKD 5, DM, HTN, Nephrotic, eGFR 14, S/P Upper Extremity AVF 6 weeks, Had PMH of Idiopathic Pulmonary HTN.What is the role of AVF Physiology as a shunt in worsening Pulmonary HTN?
12 years ago

A high volume fistula may well cause worsening pulmonary hypertension in my opinion. Not to say that this risk outweighs the benefit of a fistula over a catheter. But the volume of the fistula flow may well become an issue necessitating revision if it becomes too large. Interesting question.

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