Angioaccess

Butt, Khalid M. H.; Friedman, Eli A.; Kountz, Samuel L.

doi:10.1016/s0011-3840(76)80014-7

Cited by 25 publications

(4 citation statements)

References 111 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tunneled catheters are surgically placed beneath the skin, offering more stability and a lower risk of infection. Non-tunneled catheters, on the other hand, are inserted directly into a large vein without tunneling and are generally considered temporary solutions [6]. The choice between these catheter types depends on the patient's individual needs and the expected duration of hemodialysis treatment.…”

Section: Discussionmentioning

confidence: 99%

"Transhepatic Hemodialysis Catheter. Alternative in Patients with Angioaccess Exhaustion: Case Report"

Balderas Chairez

2024

BJSTR

View full text Add to dashboard Cite

The treatment of chronic kidney disease (CKD) is based on a variety of strategies aimed at delaying its progression and managing complications. In advanced cases, hemodialysis or kidney transplantation may be necessary. Vascular access (VA) constitutes the fundamental cornerstone of any extracorporeal hemodialysis treatment. In patients with exhaustion from conventional angioaccess, less common routes have been chosen, such as transhepatic angiographic access. We present the case of a 52-year-old patient with a history of CKD and multiple angioaccesses for hemodialysis, all of which experienced dysfunction. In this patient, we placed a transhepatic vascular access. Currently, the patient continues with hemodialysis sessions, and the catheter functions properly.

show abstract

Section: Discussionmentioning

confidence: 99%

"Transhepatic Hemodialysis Catheter. Alternative in Patients with Angioaccess Exhaustion: Case Report"

Balderas Chairez

2024

BJSTR

View full text Add to dashboard Cite

show abstract

“…FleA [9] has been established as a valuable technique and has also proved useful in our pediatric patients with vascular access stenoses. Stenoses predominantly are at the venous anastomotic sites and are thought to be secondary to surgical scarring, organized thrombus from repeated vena punctures [2,10], or from venous intimal hyperplasia as a reaction to arterial pressures [11]. When these lesions extend over a short (5-10ram) segment, they are often amenable to balloon dilatation.…”

Section: Discussionmentioning

confidence: 99%

Maintenance of vascular access patency in pediatrics

et al. 1986

View full text Add to dashboard Cite

The patency of vascular access shunts and fistulae has been prolonged by a combined surgical and radiological approach that includes percutaneous transluminal angioplasty (PTA), surgical revision, thrombectomy, and thrombolysis. Over the last 3 years, 35 vascular accesses in 27 patients were found to have angiographic abnormality. PTA was performed 32 times on 19 accesses and 7 PTAs resulted in patent accesses by the end of the study. Surgical revision was performed 9 times on 8 accesses and 2 of the surgical revisions resulted in a patent access by the end of the study. Concerning Thomas femoral shunts, PTA prolonged the patency by 2.2 months and surgical revision by 3.8 months per procedure. Concerning arteriovenous (AV) fistulae, PTA prolonged the patency by 4.3 months and surgical revision by 3.5 months per procedure. A combination of procedures effectively doubles the duration of patency of Thomas femoral shunts and almost triples the duration of patency of AV fistulae in children. Forty-one percent of these accesses remain open 1 year following the initiation of these procedures.

show abstract

“…Over the five-year period, the following 300 procedures to maintain access for chronic hemodialysis were performed in 173 patients, for an average of 1 …”

Section: Surgical Proceduresmentioning

confidence: 99%