Andrew D. Spearman1, Steven J. Kindel1, Ronald K. Woods2, Salil Ginde1,3
Congenital Heart Disease, Vol.14, No.6, pp. 1199-1206, 2019, DOI:10.1111/chd.12828
Abstract Background: Hypoxia is a common and sometimes severe morbidity of single ven‐
tricle congenital heart disease (CHD). Creation of an arteriovenous fistula (AVF) is
occasionally performed for patients after superior or total cavopulmonary connec‐
tion (SCPC or TCPC) in an attempt to improve oxygen saturations. Despite previ‐
ous reports, AVF creation is a rare palliation with inadequately defined benefits and
risks. We sought to determine changes in peripheral oxygen saturation (SpO2) and
risk of adverse event after AVF creation in children with single ventricle CHD at our
institution.
Methods: We conducted a retrospective chart review of patients with a history… More >