The Middle Arm Arteriovenous Fistula is an Additional Option to Expand Autogenous Hemodialysis Access

2011 ◽  
Vol 13 (2) ◽  
pp. 208-214 ◽  
Author(s):  
Federica Capurro ◽  
Andreana De Mauri ◽  
Carlo Navino ◽  
Paola David ◽  
Doriana Chiarinotti ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Hemodialysis Access ◽  
Additional Option

scholarly journals Brachial Vein Transposition Arteriovenous Fistula for Hemodialysis Access

2012 ◽  
Vol 23 (2) ◽  
pp. 59-64
Author(s):  
Harunobu Matsumoto ◽  
Eisuke Yamamoto ◽  
Chiaki Kamiya ◽  
Emi Miura ◽  
Tadashi Kitaoka ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Hemodialysis Access ◽  
Brachial Vein

scholarly journals Cardiac Arrest Secondary to Bilateral Pulmonary Emboli following Arteriovenous Fistula Thrombectomy: A Case Report with Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Avni Shah ◽  
Naheed Ansari ◽  
Zaher Hamadeh
Keyword(s):  
Cardiac Arrest ◽  
Arteriovenous Fistula ◽  
Pulmonary Emboli ◽  
Hemodialysis Access ◽  
Number Of Patients ◽  
Life Threatening ◽  
Timely Fashion ◽  
Pulmonary Embolization ◽  
Stage Renal Disease ◽  
End Stage

Number of patients with End Stage Renal Disease (ESRD) is growing worldwide. Hemodialysis remains the main modality of renal replacement therapy for ESRD patients. A patent hemodialysis access (arteriovenous fistula or arteriovenous graft) plays a key role in successful delivery of hemodialysis. Common vascular access issues encountered by patients and nephrologists are thrombosis and infection. The thrombosed access is declotted by various percutaneous techniques these days by multiple outpatient access centers in a timely fashion. Thrombolysis can give rise to various complications, a few of which can be life threatening. A young hemodialysis patient underwent percutaneous thrombolysis of his clotted arteriovenous fistula. Outpatient access thrombectomy was complicated immediately afterwards with cardiac arrest requiring cardiac resuscitation in the recovery room. The patient was admitted to intensive care unit after life sustaining care. Work up revealed multiple pulmonary emboli to both lung fields on CT scan of the chest. Patient was anticoagulated and discharged from the hospital. Thrombolysis of clotted hemodialysis access is associated commonly with occurrences of pulmonary embolic which are usually asymptomatic. Massive pulmonary embolization due to access thrombolysis is rare. Nephrologists and radiologists should be aware of this dangerous complication particularly in patients with preexisting cardiopulmonary disease.

Clinical Considerations in Hemodialysis Access Intervention

2018 ◽  
pp. 594-614
Author(s):  
Eric K. Hoffer
Keyword(s):  
Renal Disease ◽  
Arteriovenous Fistula ◽  
End Stage Renal Disease ◽  
Morbidity And Mortality ◽  
Dialysis Access ◽  
Hemodialysis Access ◽  
National Kidney Foundation ◽  
Clinical Considerations ◽  
Stage Renal Disease ◽  
End Stage

Interventional radiologists developed and refined the endovascular approaches to maintenance of the permanent arteriovenous vascular accesses that are integral to the provision of hemodialysis for patients with end stage renal disease. As methods of percutaneous arteriovenous fistula creation expand the scope of IR, this chapter reviews the clinical indications and preferences pertinent to dialysis access creation with respect to National Kidney Foundation Recommendations. Accesses remain imperfect, plagued by the development of flow-limiting intimal hyperplastic stenoses, and require monitoring and maintenance to minimize complications, morbidity and mortality. The measures of dialysis access function used in the surveillance of vascular accesses that indicate potential stenosis, and the utility of pre-occlusion recanalization of these stenoses are discussed. Complications specific to dialysis access interventions are also addressed.

scholarly journals Endovascular arteriovenous fistula for hemodialysis access

2019 ◽  
Vol 24 (S1) ◽  
pp. 25-31 ◽  
Author(s):  
T. Steinke ◽  
J. Rieck ◽  
L. Nuth
Keyword(s):  
Arteriovenous Fistula ◽  
Hemodialysis Access

Pilot study using intraoperative fluorescence angiography during arteriovenous hemodialysis access surgery

2018 ◽  
Vol 20 (2) ◽  
pp. 175-183
Author(s):  
Susanne Regus ◽  
Felix Klingler ◽  
Werner Lang ◽  
Alexander Meyer ◽  
Veronika Almási-Sperling ◽  
...  
Keyword(s):  
Pilot Study ◽  
Indocyanine Green ◽  
Arteriovenous Fistula ◽  
Fluorescence Angiography ◽  
Hemodialysis Access ◽  
Green Fluorescence ◽  
Indocyanine Green Fluorescence ◽  
Access Surgery ◽  
Indocyanine Green Fluorescence Angiography ◽  
Intraoperative Fluorescence

Introduction: In this pilot study, we used indocyanine green fluorescence angiography during hemodialysis access surgery. The aim was to evaluate its relevance as a diagnostic tool to visualize changes in hand microperfusion. Patients and methods: In this prospective single-center study, 47 adult patients (33 male, 14 female) with renal disease (24 preemptive, 23 endstage) were enrolled. Surgical creation of an arteriovenous fistula was performed (22 forearm, 25 upper arm). Microperfusion of the ipsilateral hand and fingers was evaluated intraoperatively using indocyanine green fluorescence angiography. We compared the cumulated microperfusion parameters ingress (In) and ingress rate (InR) before and after opening of the anastomosis. To compare the dimension of microcirculatory decline, we calculated the ratios of the parameters (RatioIn and RatioInR) after to those before anastomosis opening. Results: The cumulated microperfusion parameters In and InR showed a significant decrease after completion of anastomosis and declamping. This effect has been seen in all patients for the hand and for each finger consecutively. During follow-up (mean 4.6, range 3–11 months), 5 patients (10.6%) complained about hemodialysis access–induced distal ischemia. The ratio of intraoperative microperfusion in those five hemodialysis access–induced ischemia patients was significantly lower compared to asymptomatic patients (RatioIn 0.23 vs 0.58, p = 0.001, and RatioInR 0.25 vs 0.62, p = 0.003). Conclusion: Intraoperative fluorescence angiography could visualize the deterioration of ipsilateral hand microperfusion after surgical creation of an arteriovenous fistula. It seems to be a promising tool to detect patients at risk for hemodialysis access–induced distal ischemia early in the peri- or even intraoperative stage.

scholarly journals VESS24. The Femoral Vein Transposition Arteriovenous Fistula Is a Durable Hemodialysis Access in Patients Who Have Exhausted Upper Extremity Options

2018 ◽  
Vol 67 (6) ◽  
pp. e69
Author(s):  
Alik Farber ◽  
Andrew Nimmich ◽  
Thomas W. Cheng ◽  
Jeffrey Kalish ◽  
Mohammad H. Eslami ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Upper Extremity ◽  
Femoral Vein ◽  
Hemodialysis Access

Bothrops lanceolatus envenomation in a patient with arteriovenous fistula for hemodialysis access

2016 ◽  
Vol 54 (5) ◽  
pp. 460-461
Author(s):  
Dabor Resiere ◽  
Maxime Gautier ◽  
Ruddy Valentino ◽  
Hossein Mehdaoui ◽  
Bruno Mégarbane
Keyword(s):  
Arteriovenous Fistula ◽  
Hemodialysis Access

scholarly journals Management of venous hypertension following arteriovenous fistula creation for hemodialysis access

2016 ◽  
Vol 32 (2) ◽  
pp. 141 ◽  
Author(s):  
Aneesh Srivastava ◽  
Varun Mittal ◽  
Rakesh Kapoor ◽  
Hira Lal ◽  
Tarun Javali ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Venous Hypertension ◽  
Hemodialysis Access

Subclavian Vein Stenosis: A Potentially Serious Complication in Chronic Hemodialysis Patients with Permanent Cardiac Pacemakers

1997 ◽  
Vol 20 (6) ◽  
pp. 316-318 ◽  
Author(s):  
F. Cavatorta ◽  
S. Campisi ◽  
A. Zollo
Keyword(s):  
Arteriovenous Fistula ◽  
Subclavian Vein ◽  
Hemodialysis Patients ◽  
Chronic Hemodialysis ◽  
Brachiocephalic Vein ◽  
Hemodialysis Access ◽  
Cardiac Pacemakers ◽  
Vein Stenosis

We report on two hemodialyzed patients in whom subclavian and brachiocephalic vein stenosis secondary to permanent cardiac pacemakers led to massive congestive edema of the same arm after arteriovenous fistula/grafts were created. Therapeutic solutions regarding hemodialysis access are discussed in these patients with permanent pacemakers requiring hemodialysis.

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