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Alwall also was arguably the inventor of the arteriovenous shunt for dialysis.
He reported this first in 1948, where he used such an arteriovenous shunt in rabbits.
"An arteriovenous shunt.
This keeps the artery coiled and little blood flow occurs, instead routing to arteriovenous shunts to the deep dorsal vein.
In 1960 the use of a subcutaneous arteriovenous shunt along with the artificial kidney machine allowed hemodialysis for patients with chronic renal failure.
Larger arteriovenous shunts correlate with greater hemodynamic effects and earlier symptom onset; small arteriovenous shunts correlate with greater local mass effect causing progressive neurological impairment.
The heart failure is due to the size of the arteriovenous shunt that can steal 80% or more of the cardiac output, with large volumes of blood under high pressure returning to the right heart and pulmonary circulation and sinus venosus atrial septal defects.