Hemodialysis Vascular Access Dysfunction

Lee, Timmy

doi:10.5772/21735

Cited by 2 publications

(2 citation statements)

References 247 publications

(180 reference statements)

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“…Endovascular interventional techniques (table 2 ) [ 65 , 66 , 67 , 68 , 69 ] proved to be successful in treating stenotic lesions within the access using PTA to treat focal stenoses and coil embolization and ligation to eliminate competing branch veins [ 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 ]. Nassar et al [ 75 ] used balloon angioplasty of focal stenoses and coil embolization of accessory veins to salvage 83% of nonmaturing fistulas but concluded that 16.8% of the fistulas were unsalvageable due to complete occlusion of the outflow tract or the venous outflow tract being prohibitively deep, tortuous, or strictured.…”

Section: New Strategies In the Treatment Of Vascular Access Dysfunctimentioning

confidence: 99%

Most Important Chronic Complications of Arteriovenous Fistulas for Hemodialysis

Stolić¹

2012

Med Princ Pract

151

107

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The aim of this review was to highlight the most important complications of arteriovenous fistulas (AVFs) for hemodialysis (HD). The quality of vascular access for HD should be suitable for repeated puncture and allow a high blood flow rate for high-efficiency dialysis with minimal complications. The dialysis staff must be well versed in manipulation of the AVF, and there should be a minimal need for corrective interventions. Construction of an AVF creates conditions for increasing the flow of blood through the venous system. Fulfillment of these conditions reduces the risk of turbulence and endothelium injury, which, in turn, minimizes the potential for stenosis. An AVF is closest to the ideal model of vascular access. The most important complications of fistulae for HD are lymphedema, infection, aneurysm, stenosis, congestive heart failure, steal syndrome, ischemic neuropathy and thrombosis. In HD patients, the most common cause of vascular access failure is neointimal hyperplasia. It is important to gain information about early clinical symptoms of AVF dysfunction in order to prevent and adequately treat potential complications.

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Section: New Strategies In the Treatment Of Vascular Access Dysfunctimentioning

confidence: 99%

Most Important Chronic Complications of Arteriovenous Fistulas for Hemodialysis

Stolić¹

2012

Med Princ Pract

151

107

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“…Interventional radiologists can also play a role in salvaging an early as well as late failing fistula due to thrombosis or stenotic lesions, with thromboembolectomies or dilatations by endovascular techniques, but their application is limited because of cost constraints. 34 35 36 37 …”

Section: Author’s Modificationmentioning

confidence: 99%

Nuances of Arteriovenous Fistula Creation for Vascular Access in Hemodialysis

Sahasrabudhe

Bindu

2021

Indian J Plast Surg

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Background With rising incidence and increased life expectancy of patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD), the number of patients requiring hemodialysis has increased substantially. Vascular access is the lifeline for a patient on hemodialysis (HD), and an arteriovenous fistula (AVF) is the undisputed gold standard for HD access. An effective and long-lasting fistula serves to increase the life expectancy of ESRD patients and improves their quality of life. Learning Objectives This paper aims to give a comprehensive overview of AVF creation, including the various techniques, patient selection, troubleshooting with decision-making, and common complications. Authors share their experience from previous publications and over 2000 AVF surgeries. They have not only described a new modification of the technique of proximal fistula but have also established a direct correlation between bruit and thrill on operation table and success of fistula surgery. Conclusion A standardized, protocol-driven multidisciplinary approach with careful patient and site selection, guided by outcome predictors, is vital in AVF surgery. Knowledge about the potential complications of AVFs contributes to their timely detection and allows measures to be taken that might prevent deleterious consequences that range from loss of vascular access to serious morbidity and mortality.

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Hemodialysis Vascular Access Dysfunction

Cited by 2 publications

References 247 publications

Most Important Chronic Complications of Arteriovenous Fistulas for Hemodialysis

Most Important Chronic Complications of Arteriovenous Fistulas for Hemodialysis

Nuances of Arteriovenous Fistula Creation for Vascular Access in Hemodialysis

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