Improvement of the left atrial systolic function after a surgical reduction of the high flow arteriovenous fistula

In patients with high-flow AVF-associated HOHF, surgical AVF flow reduction leads to a significant improvement in LA systolic function alongside decreased LA volume. These findings suggest partial reversibility of atrial remodeling induced by chronic hyperkinetic circulation and highlight the potential cardiovascular benefits of AVF flow optimization in selected dialysis patients.

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Publication Details

Journal
Frontiers in Medicine
Published
2026-01-09
DOI
https://doi.org/10.3389/fmed.2025.1732862
Primary Topic
Central Venous Catheters and Hemodialysis
Type
article
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article

Improvement of the left atrial systolic function after a surgical reduction of the high flow arteriovenous fistula

V. Lejsek, Kristyna Michalickova, Kristína Burýšková Salajová, Martin Rybar et al.
Frontiers in Medicine
Central Venous Catheters and Hemodialysis
article

Improvement of the left atrial systolic function after a surgical reduction of the high flow arteriovenous fistula

V. Lejsek, Kristyna Michalickova, Kristína Burýšková Salajová, Martin Rybar, Jan Malik, Anna Valerianova, Marcela Slavikova
article en

Abstract

In patients with high-flow AVF-associated HOHF, surgical AVF flow reduction leads to a significant improvement in LA systolic function alongside decreased LA volume. These findings suggest partial reversibility of atrial remodeling induced by chronic hyperkinetic circulation and highlight the potential cardiovascular benefits of AVF flow optimization in selected dialysis patients.

Frontiers in MedicineVol. 12
Charles University (CZ), Central Military Hospital (NL), Institute of Clinical and Experimental Medicine (CZ), General University Hospital in Prague (CZ), Czech Technical University in Prague (CZ)
Good health and well-being
Openalex Percentile: Top 94%
Central Venous Catheters and Hemodialysis
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