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Early echocardiographic modifications after flow reduction by proximal radial artery ligation in patients with high-output heart failure due to high-flow forearm arteriovenous fistula.

Barbara MarescaFausta Barbara FiliceSara OrlandoGiuseppino Massimo CiavarellaJacopo ScrivanoMassimo VolpeNicola Pirozzi
Published in: The journal of vascular access (2020)
AVF flow reduction after PRAL induces immediate regression of CHF symptoms, early improvement of TAPSE and late improvement of PAPS, suggesting a prevalent right sections involvement in CHF. Preoperative TAPSE modification after AVF anastomosis compression could represent a useful evaluation tool to determine which patients would benefit of PRAL.
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