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Review

High-output heart failure from arteriovenous dialysis access: A structured approach to diagnosis and management

Maximilian C. Volk, DO, Bianca Honnekeri, MD, Joanna Ghobrial, MD, Mazen Hanna, MD, Sanjeeb Bhattacharya, MD, Lee Kirksey, MD, J. Emanuel Finet, MD and Heba Wassif, MD, MPH
Cleveland Clinic Journal of Medicine June 2025, 92 (6) 362-371; DOI: https://doi.org/10.3949/ccjm.92a.24114
Maximilian C. Volk
Department of Internal Medicine, Cleveland Clinic, Cleveland, OH
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Bianca Honnekeri
Department of Internal Medicine, Cleveland Clinic, Cleveland, OH
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Joanna Ghobrial
Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH; Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
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Mazen Hanna
Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH; Clinical Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
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Sanjeeb Bhattacharya
Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH; Clinical Instructor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
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Lee Kirksey
Vice Chair, Department of Vascular Surgery, Cleveland Clinic, Cleveland, OH; Clinical Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
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J. Emanuel Finet
Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH; Clinical Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
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Heba Wassif
Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH; Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
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  • For correspondence: [email protected]
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Article Information

vol. 92 no. 6 362-371
DOI 
https://doi.org/10.3949/ccjm.92a.24114
PubMed 
40456577

Published By 
Cleveland Clinic Journal of Medicine
Print ISSN 
0891-1150
Online ISSN 
1939-2869
History 
  • Published online June 2, 2025.

Copyright & Usage 
Copyright © 2025 The Cleveland Clinic Foundation. All Rights Reserved.

Author Information

  1. Maximilian C. Volk, DO
  1. Department of Internal Medicine, Cleveland Clinic, Cleveland, OH
  1. Bianca Honnekeri, MD
  1. Department of Internal Medicine, Cleveland Clinic, Cleveland, OH
  1. Joanna Ghobrial, MD
  1. Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH; Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
  1. Mazen Hanna, MD
  1. Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH; Clinical Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
  1. Sanjeeb Bhattacharya, MD
  1. Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH; Clinical Instructor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
  1. Lee Kirksey, MD
  1. Vice Chair, Department of Vascular Surgery, Cleveland Clinic, Cleveland, OH; Clinical Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
  1. J. Emanuel Finet, MD
  1. Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH; Clinical Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
  1. Heba Wassif, MD, MPH⇑
  1. Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH; Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
  1. Address:
    Heba Wassif, MD, MPH, Department of Cardiovascular Medicine, J3-4, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195; wassifh{at}ccf.org
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Cleveland Clinic Journal of Medicine: 92 (6)
Cleveland Clinic Journal of Medicine
Vol. 92, Issue 6
1 Jun 2025
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High-output heart failure from arteriovenous dialysis access: A structured approach to diagnosis and management
Maximilian C. Volk, Bianca Honnekeri, Joanna Ghobrial, Mazen Hanna, Sanjeeb Bhattacharya, Lee Kirksey, J. Emanuel Finet, Heba Wassif
Cleveland Clinic Journal of Medicine Jun 2025, 92 (6) 362-371; DOI: 10.3949/ccjm.92a.24114

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High-output heart failure from arteriovenous dialysis access: A structured approach to diagnosis and management
Maximilian C. Volk, Bianca Honnekeri, Joanna Ghobrial, Mazen Hanna, Sanjeeb Bhattacharya, Lee Kirksey, J. Emanuel Finet, Heba Wassif
Cleveland Clinic Journal of Medicine Jun 2025, 92 (6) 362-371; DOI: 10.3949/ccjm.92a.24114
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  • Article
    • ABSTRACT
    • DUE TO BLOOD SHUNTING
    • THE HIGHER THE FLOW, THE HIGHER THE RISK
    • DIAGNOSIS: A STRUCTURED APPROACH
    • INVASIVE ASSESSMENT: RIGHT HEART CATHETERIZATION
    • TREATMENT OPTIONS
    • PROMPT DIAGNOSIS NEEDED
    • DISCLOSURES
    • REFERENCES
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