The Effect of Ligation of High Flow Vascular Access on Echocardiogram and Laboratory Markers

Type of Research: Single-center retrospective cohort study Key Findings: In 27 patients undergoing surgical ligation of high flow vascular access, echocardiographic parameters showed no significant improvement postoperatively.Only 30% of 26 patients with heart failure symptoms reported clinical improvement.There was a significant decrease in NT-pro-BNP (p 0.011) after ligation.Take home Message: High flow vascular access induced cardiac remodeling, as characterized by the most common used modality of echocardiography, is not reversed by surgical ligation alone.Early detection and prevention strategies are essential to mitigate structural heart changes before an irreversible state is reached. Table of Contents SummaryPatients undergoing surgical ligation of high flow vascular access demonstrated no significant echocardiographic improvement.Early high flow detection and management are essential to prevent irreversible cardiac remodeling.