{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:12:21Z","timestamp":1792001541972,"version":"4.4.0"},"reference-count":18,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,10,7]],"date-time":"2013-10-07T00:00:00Z","timestamp":1381104000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Some hemodialysis patients develop arteriovenous (AV) fistulas with high flows. This volume overload can result in high\u2010output cardiac failure. To date, predisposing access flow rates are unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study of all kidney\u2010transplant recipients at the Medical University of Innsbruck (<jats:styled-content style=\"fixed-case\">MUI<\/jats:styled-content>) from 2005 to 2010 included 797 patients with the following criteria: previous hemodialysis with a native <jats:styled-content style=\"fixed-case\">AV<\/jats:styled-content> fistula or a graft, sufficient function of the kidney transplant up to the time of the data analysis, and follow\u2010up care at the <jats:styled-content style=\"fixed-case\">MUI<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010nine of the 113 patients (25.7%) needed an <jats:styled-content style=\"fixed-case\">AV<\/jats:styled-content> fistula closure, mostly because of symptoms of cardiac failure. The mean shunt flow in the intervention group was 2197.2\u00a0mL\/min, whereas the mean shunt flow in the non\u2010intervention group was only 850.9\u00a0mL\/min. Shunt closures were most frequently made in patients with upper\u2010arm shunts (41.7%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The necessity of shunt closure is not a rarity. Patients who underwent an <jats:styled-content style=\"fixed-case\">AV<\/jats:styled-content> fistula ligature had high access flows with about 2200\u00a0mL\/min. As the symptoms of cardiac failure greatly improved after shunt closure, patients with high access flow may benefit from such an intervention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.12248","type":"journal-article","created":{"date-parts":[[2013,10,12]],"date-time":"2013-10-12T02:01:53Z","timestamp":1381543313000},"page":"858-865","source":"Crossref","is-referenced-by-count":33,"title":["Incidence of arteriovenous fistula closure due to high\u2010output cardiac failure in kidney\u2010transplanted patients"],"prefix":"10.1111","volume":"27","author":[{"given":"Tabea","family":"Schier","sequence":"first","affiliation":[{"name":"Department of Nephrology Innsbruck Medical University Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georg","family":"G\u00f6bel","sequence":"additional","affiliation":[{"name":"Department of Medical Statistics, Informatics and Health Economics Innsbruck Medical University Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"B\u00f6sm\u00fcller","sequence":"additional","affiliation":[{"name":"Department of Visceral, Transplant and Thoracic Surgery Innsbruck Medical University Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"Gruber","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Innsbruck Medical University Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Tiefenthaler","sequence":"additional","affiliation":[{"name":"Department of Nephrology Innsbruck Medical University Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,10,7]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/112972980500600405"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2004.01.016"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.2002.34932"},{"key":"e_1_2_5_5_1","unstructured":"KramarR OberbauerR.Austrian Dialysis and Transplantation Registry (OEDTR). 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