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10.1093/ckj/sfx113 http://scihub22266oqcxt.onion/10.1093/ckj/sfx113 C6007507!6007507 !29992020     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29992020 &cmd=llinks): Failed to open stream: HTTP request failed! 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Controversies in the management of the haemodialysis-related arteriovenous fistula following kidney transplantation |pdf=|usr=}}{{29992020 }} gab.com Text Controversies in the management of the haemodialysis-related arteriovenous fistula following kidney transplantation JO: Clin Kidney J http://www.kidney.de/pget.php?&tw=1&pmid=29992020 #FOAvip Arteriovenous fistula (AVF) is regarded as the best vascular access for chronic haemodialysis (HD). Still, AVF inherently causes significant haemodynamic changes. Although the necessity for vascular access despite its putative cardiovascular complications favours AVF creation in patients under chronic HD, one may question whether sustaining a functional AVF after successful kidney transplantation extends the haemodynamic threat. Small prospective series suggest that AVF ligation causes rapid and sustained reduction in left ventricular hypertrophy. Still, the benefits of such a cardiac remodelling in long-terms of cardiovascular morbi-mortality still need to be proven. Furthermore, the elevation of diastolic blood pressure and arterial stiffness caused by AVF ligation may blunt the expected cardio-protection. Finally, the closure of a functioning AVF may accelerate the decline of kidney graft function. As a whole, the current management of a functioning AVF in kidney transplant recipients remains controversial and does not rely on strong evidence-based data. The individual risk of graft dysfunction and a return to chronic HD also needs to be balanced. Careful pre-operative functional assessments, including cardio-pulmonary testing and estimated glomerular filtration rate slope estimation, may help better selection of who might benefit the most from AVF closure. Large-scale prospective, ideally multi-centric, trials are essentially needed. Twit Text FOAVip Controversies in the management of the haemodialysis-related arteriovenous fistula following kidney transplantation ????Clin Kidney J http://www.kidney.de/pget.php?&tw=1&pmid=29992020 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29992020 #FOAvip English Wikipedia <ref>{{Cite pmid|29992020 }}</ref> Controversies in the management of the haemodialysis-related arteriovenous fistula following kidney transplantation #MMPMID29992020 Vanderweckene P ; Weekers L ; Lancellotti P ; Jouret F Clin Kidney J 2018[Jun]; 11 (3 ): 406-412 PMID29992020 show ga Arteriovenous fistula (AVF) is regarded as the best vascular access for chronic haemodialysis (HD). Still, AVF inherently causes significant haemodynamic changes. Although the necessity for vascular access despite its putative cardiovascular complications favours AVF creation in patients under chronic HD, one may question whether sustaining a functional AVF after successful kidney transplantation extends the haemodynamic threat. Small prospective series suggest that AVF ligation causes rapid and sustained reduction in left ventricular hypertrophy. Still, the benefits of such a cardiac remodelling in long-terms of cardiovascular morbi-mortality still need to be proven. Furthermore, the elevation of diastolic blood pressure and arterial stiffness caused by AVF ligation may blunt the expected cardio-protection. Finally, the closure of a functioning AVF may accelerate the decline of kidney graft function. As a whole, the current management of a functioning AVF in kidney transplant recipients remains controversial and does not rely on strong evidence-based data. The individual risk of graft dysfunction and a return to chronic HD also needs to be balanced. Careful pre-operative functional assessments, including cardio-pulmonary testing and estimated glomerular filtration rate slope estimation, may help better selection of who might benefit the most from AVF closure. Large-scale prospective, ideally multi-centric, trials are essentially needed. äControversies in the management of the haemodialysis-related arteriove(epmc).pdf DeepDyve Pubget Overpricing