Management of Dialysis Access

Iqbal, Azher; Baig, Asad

doi:10.1016/b978-0-323-67969-5.00032-0

Cited by 1 publication

(4 citation statements)

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“…In addition, failure may arise due to surgeon factors and the accuracy of the vascular anastomosis. [3][4][5][6] Many complications can occur within AV shunt surgery, such as shunt failure, stenosis in the proximal venous leg (48%), thrombosis (9%), aneurysm (7%), heart failure due to shunt too large (greater than 20% of cardiac output), arterial steal syndrome and distal ischemia (1.6%), distal venous hypertension from shunt swelling, hyperpigmentation, skin induration, and occasional ulceration. 8,13,14,17 But after all, the mortality rate after AV shunt is 0%.…”

Section: Results and Possible Complication Of Av Shuntmentioning

confidence: 99%

“…other so that the risk of heart failure ischemia is also lower. 4 Before making the AV shunt, the general condition should be improved, such as double lumen hemodialysis and blood transfusion, so the patient does not experience fluid overload, hemoglobin (Hb) increases, and urea decreases. The primary maturation of the brachiocephalic fistula takes 8-12 weeks.…”

Section: Procedures Of Av Shuntmentioning

confidence: 99%

“…Vascular dialysis is further divided into several types, such as a double-lumen shortterm catheter, long term double-lumen catheter, arteriovenous (AV) shunt, and arteriovenous graft. 4 Hemodialysis is a process that involves diffusion and ultrafiltration to remove certain elements from the blood by taking advantage of the difference in the diffusion rate of blood as it passes through a semipermeable membrane. 5 Hemodialysis is performed by pumping the patient's blood and flowing it to the blood compartment bordered by an artificial semipermeable membrane with a dialysate compartment.…”

Section: Introductionmentioning

confidence: 99%

“…This will cause a shunt of blood flow from the arteries to the veins to enlarge and experience epithelialization. 4 The location…”

Section: Introductionmentioning

confidence: 99%

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Arteriovenous shunt as the best hemodialysis access in Chronic Kidney Disease (CKD) patients: a literature review

Sebayang

Hidayat

2021

JINAVascAccess

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Arteriovenous Shunt (AV Shunt) is a minor surgical operation that connects (creating anastomoses) the arteries and veins in the arm or other body part for the purpose of making connection access for hemodialysis. AV shunt is the primary choice in establishing vascular access for hemodialysis in patients with Chronic Kidney Disease (CKD). Therefore, this study aims to review the arteriovenous shunt as a hemodialysis access option in CKD patients. The literature study was conducted by searching various written sources, whether in the form of books, archives, articles and journals, or documents relevant to the problem being studied. The mortality rate after AV shunt is 0%, even though it still has postoperative complications. Based on the location of the operation, making the AV shunt is prioritized on the distal part that is not dominant to minimize the damage to the AV shunt. The location of the wrist, namely the brachiocephalic, is a top priority in making an AV shunt because it has many advantages. AV shunt is the primary choice of vascular access for hemodialysis in patients with chronic kidney disease. It is hoped that through the AV shunt, the life expectancy of patients with CKD can be increased, and patients with CKD must receive support from other disciplines such as interns, psychologists, and the patient's family.

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Section: Results and Possible Complication Of Av Shuntmentioning

confidence: 99%

Section: Procedures Of Av Shuntmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…This will cause a shunt of blood flow from the arteries to the veins to enlarge and experience epithelialization. 4 The location…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations