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Kamran Mohiuddin, David C Bosanquet, Nafi Dilaver, Anthony Davies, Christopher G Davies
BACKGROUND: Significant stenoses in arteriovenous fistulae or grafts (AVFs or AVGs) with limitation of flow and dialysis inadequacy should prompt consideration for fistuloplasty. We sought to identify fistulae, lesions and patient specific variables which predict for outcomes after fistuloplasty. METHOD: ology: Data were extracted retrospectively from renal access database from 2011 to 2016 of patients undergoing fistuloplasty. Demographics, co-morbidities, outcome of intervention and flow rate documented on pre and post intervention duplex were collected...
March 6, 2018: Annals of Vascular Surgery
Narayan Karunanithy, Irene Rebollo Mesa, Anthony Dorling, Francis Calder, Konstantinos Katsanos, Vikki Semik, Emily Robinson, Janet Peacock, Neelanjan Das, Colin Forman, Sarah Lawman, Kate Steiner, C Jason Wilkins, Michael G Robson
BACKGROUND: The initial therapy for a stenosis in an arteriovenous fistula used for haemodialysis is radiological balloon dilatation or angioplasty. The benefit of angioplasty is often short-lived, intervention-free survival is reported to be 40-50 % at 1 year. Previous small studies and observational data suggest that paclitaxel-coated balloons may be of benefit in improving outcomes after fistuloplasty of stenotic arteriovenous fistulae. METHODS/DESIGN: We have designed a multicentre, double-blind randomised controlled trial to test the superiority of paclitaxel-coated balloons for preventing restenosis after fistuloplasty in patients with a native arteriovenous fistula...
May 12, 2016: Trials
Harris Hameed, Emma Aitken, Zeyad Al-Moasseb, David Kingsmore
PURPOSE: Autologous arteriovenous fistulae (AVF) are the vascular access option of choice. However, Brachiobasilic fistula (BBF) are complex procedures with variable outcomes reported in the literature. Our aim was to evaluate outcomes and morbidity associated with BBF in our population. METHODS: Retrospective analysis of prospectively collected data was undertaken for all 51 BBF created in our institution between January 2010 and March 2013. These were compared to an age and sex-matched group of brachiocephalic fistula (BCF) created over a similar time period...
2016: Renal Failure
Ian L Sheldrake, Timothy E Rowlands
INTRODUCTION: Vascular access is essential to end-stage renal failure patients requiring haemodialysis. Many patients require multiple fistula formation attempts in order to gain good access, making secondary and tertiary fistula options vital. Brachiobasilic fistulas are well established, but there is little evidence to compare the different surgical techniques in creating them. This study aimed to determine the patency and complication rates associated with these procedures. METHODS: Retrospective data was collected by reviewing case notes to determine fistula survival time and surgical setting...
June 2015: International Journal of Surgery
Wojciech Żurek, Wojciech Makarewicz, Maciej Bobowicz, Wioletta Sawicka, Witold Rzyman
INTRODUCTION: Pleural empyema is the most serious, life-threatening postoperative complication of pneumonectomy, observed after 1-12% of all pneumonectomies, with bronchopleural fistula being its main cause. AIM: The aim of this publication is to present early outcomes of minimally invasive surgical management of pleural empyema. Patients were subjected to a single, complex procedure, consisting of the laparoscopic mobilization of the greater omentum and its transposition via the diaphragm into the pleural cavity to fill in the empyema cavity with the consecutive pleuro-cutaneous fistuloplasty (thoracoplasty)...
December 2014: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
T M Y Kwok, A K Ramanathan
No abstract text is available yet for this article.
September 2014: Annals of the Royal College of Surgeons of England
Steven Powell, Tze Chan
Although the arteriovenous fistula (AVF) is the access of choice for dialysis, its success as an access is limited by its high rate of failing to mature and its development of venous stenoses. This makes cannulation difficult or even impossible for dialysis staff. A variety of endovascular techniques exist for improving cannulation rates in AVFs. These include coil embolization of tributaries and balloon-assisted maturation in immature fistulae and fistuloplasty, stents and thrombus removal in mature failing access...
2014: Journal of Vascular Access
Andrew Shawyer, Nicos I Fotiadis, Girish Namagondlu, Arun Iyer, Mark Blunden, Martin Raftery, Magdi Yaqoob
PURPOSE: Cephalic arch stenosis (CAS) is an important and common cause of dysfunction in autogenous haemodialysis fistulas that requires multiple reinterventions and aggressive surveillance. We evaluated the safety and efficacy of the Viabahn stent-graft for the management of CAS. METHODS: Between April 2005 and October 2011, 11 consecutive patients [four men and seven women (mean age 56.7 years)] with CAS and dysfunctional fistulas were treated with insertion of 11 Viabahn stent-grafts...
February 2013: Cardiovascular and Interventional Radiology
Anantha K Ramanathan, Justin Roake
No abstract text is available yet for this article.
March 2011: Annals of the Royal College of Surgeons of England
R Kh Galeev, Sh R Galeev, A N Malygin
To improve surgical outcomes in patients with complicated recurrent, radiation-induced, giant and multiple vesicovaginal fistulas, we have developed a new combined method of fistuloplasty (patent 21350999). The method was used in 12 of 32 operations made in 1997-2007 in the urological clinic of the Kazan Medical University for vesicovaginal fistula in patients aged 19 to 72 years. The technique was applied in women with vesicovaginal fistula located close to the ureteral orifice. Good results of the operation were achieved due to leak-proof sutures, accurate dissection of the bladder from the vagina and intact blood supply of the tissues...
July 2010: Urologii︠a︡
Janice Ward, Kate Shaw, Andrew Davenport
INTRODUCTION: The advent of blunt needles for arteriovenous fistula cannulation has led to a resurgence in the buttonhole technique. Although successful for home haemodialysis patients and those who self-cannulate, we introduced this technique into one of our satellite dialysis centres. METHODS: Audit of buttonhole cannulation in 53 adult haemodialysis patients, 29 male, mean age 68.5 ± 1.9 years. Twelve (23%) patients started de novo and 41 (77%) had previously been using sharp needles with the rope ladder technique...
2010: Nephron. Clinical Practice
Clare L Bent, Dheeraj K Rajan, Kongteng Tan, Martin E Simons, Jeff Jaskolka, John Kachura, Robert Beecroft, Kenneth W Sniderman
PURPOSE: To determine the clinical effectiveness of stent-graft placement in dysfunctional autogenous hemodialysis fistulas. MATERIALS AND METHODS: Between September 2006 and June 2008, 24 Fluency Plus stent-grafts were inserted in 17 patients with failing autogenous hemodialysis fistulas (two radiocephalic, 12 brachiocephalic, and three brachiobasilic). Six fistulas were thrombosed at presentation. Indications for stent-graft insertion included 10 residual stenoses, six pseudoaneurysms, and one fistuloplasty-induced rupture...
April 2010: Journal of Vascular and Interventional Radiology: JVIR
Eric S Chemla, Mohamed Morsy, Liz Anderson, Andrea Whitemore
The arteriovenous fistula used for vascular access for hemodialysis may contribute to development of congestive heart failure. Theses patients can present with frequent episodes of congestive hear failure. Traditional management of high-inflow, a high-cardiac-output fistula generally involves either closure or banding. Although high-output state can be controlled, the lifeline of the patient is lost. We describe a series of 17 hemodialysis patients (10 men and 7 women) in whom a novel inflow reduction method was employed...
January 2007: Seminars in Dialysis
M R Arias, J L Ramón, M Campos, J J Cervantes
A comparative study of the voice with sustained phonation of the vowel /a/ was made in 3 groups of male patients: (1) 20 patients receiving total laryngectomy for epidermoid carcinoma of the larynx who had acquired good voice quality after a phonatory fistuloplasty with a Herrmann voice prosthesis; (2) 20 patients undergoing total laryngectomy for epidermoid carcinoma of the larynx who had learned esophageal speech; and (3) 20 subjects with normal voices. Statistical analysis yielded significant differences in fundamental voice frequency between the 3 groups, with the patients with phonatory prostheses revealing the closest to a normal voice...
May 2000: Otolaryngology—Head and Neck Surgery
M Rosique, J L Ramón, M Campos, J Cervantes
A comparative study was made of the voices of three groups of male patients by acoustic analysis of sustained phonation of the vowel /a/: 1) 20 patients who had undergone total laryngectomy and phonatory fistuloplasty, fitted with a Herrmann voice prosthesis, who had achieved successful prosthetic speech; 2) 20 laryngectomized patients with good quality esophageal speech, and 3) 20 subjects with normal voices. Statistical analysis of fundamental frequency disclosed significant differences between groups, the group with phonatory prostheses having the closest to normal voice of the fistuloplastic groups...
March 1999: Acta Otorrinolaringológica Española
R Winkler
Anorectal manifestations can be expected in about 40% of all patients suffering from Crohn's disease. The frequency increases with extension of disease towards the anal canal. If the rectum is involved, they are obligatory present and contribute to the necessity of a stoma formation. Surgical indication is mostly given, especially in cases with putrid secretion. Primary aim of therapy is the control of peri-anorectal infection by excision of all the inflamed extramural tissue. Wether the underlying fistulas are excised too, depends on their topography to the sphincter system...
1998: Zentralblatt Für Chirurgie
O B Loran, B N Godunov, N al-Haiyat
Basing on 139 cases with vesicovaginal fistulas treated, the authors review diagnostic and clinical aspects of these fistulas, the performance of fistuloplasty via transvesical approach. Clear indications for fistuloplasty via transvesical approach have been formulated.
September 1995: Urologii︠a︡ i Nefrologii︠a︡
J M Palop, R Botí, F de Grado, R Núñez, M Schneider, R Bou, R Lasierra
The paper deals with a severe mediastinal complication when performing, in a laryngectomee, a secondary fistuloplasty. Brief review of possible failures of this surgery, which are not common, but sometimes can be severe and even deadly.
1993: Anales Otorrinolaringológicos Ibero-americanos
A L Tsiv'ian
No abstract text is available yet for this article.
September 1993: Urologii︠a︡ i Nefrologii︠a︡
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