scholarly journals Arteriovenous fistula creation using the Brescia-Cimino technique compared to the fish-mouth anastomosis technique for hemodialysis access

2018 ◽  
Vol 27 (2) ◽  
pp. 65-70
Author(s):  
Erdinç Eroğlu
2011 ◽  
Vol 13 (2) ◽  
pp. 208-214 ◽  
Author(s):  
Federica Capurro ◽  
Andreana De Mauri ◽  
Carlo Navino ◽  
Paola David ◽  
Doriana Chiarinotti ◽  
...  

2012 ◽  
Vol 23 (2) ◽  
pp. 59-64
Author(s):  
Harunobu Matsumoto ◽  
Eisuke Yamamoto ◽  
Chiaki Kamiya ◽  
Emi Miura ◽  
Tadashi Kitaoka ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Avni Shah ◽  
Naheed Ansari ◽  
Zaher Hamadeh

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.


2018 ◽  
pp. 594-614
Author(s):  
Eric K. Hoffer

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.


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

2018 ◽  
Vol 20 (2) ◽  
pp. 175-183
Author(s):  
Susanne Regus ◽  
Felix Klingler ◽  
Werner Lang ◽  
Alexander Meyer ◽  
Veronika Almási-Sperling ◽  
...  

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.


2018 ◽  
Vol 67 (6) ◽  
pp. e69
Author(s):  
Alik Farber ◽  
Andrew Nimmich ◽  
Thomas W. Cheng ◽  
Jeffrey Kalish ◽  
Mohammad H. Eslami ◽  
...  

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

2016 ◽  
Vol 32 (2) ◽  
pp. 141 ◽  
Author(s):  
Aneesh Srivastava ◽  
Varun Mittal ◽  
Rakesh Kapoor ◽  
Hira Lal ◽  
Tarun Javali ◽  
...  

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