The persistence or not of the arteriovenous fistula. A modifiable cardiovascular risk factor.
Keywords:
Kidney transplant, hemodialysis, arteriovenous fistulaAbstract
Introduction: The arteriovenous fistula constitutes the vascular access of choice to undertake renal replacement therapy with hemodialysis and contributes to patient survival in the purification method. Objective: To determine the impact of the permanence of the arteriovenous fistula on the heart, a quasi-experimental study was designed consisting of two groups of kidney transplant recipients with adequate function; one experimental, with closure of the angioaccess (n=68) and another comparison (n=69), without surgery. In both, clinical, laboratory and echocardiographic variables were compared at two times (final – initial). Results: In the experimental group, improvement was observed in the variables studied compared to the comparison group with statistical significance. Conclusions: The closure of the arteriovenous fistula in patients with a functional kidney transplant represents a modifiable and non-traditional cardiovascular risk factor for cardiovascular dysfunction.
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