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Hemodialysis vascular access 2014

Suh Min Kim, Seung-Kee Min, Sanghyun Ahn, Sang-Il Min, Jongwon Ha
PURPOSE: This retrospective review aimed to report the outcomes of arteriovenous fistula (AVF) and to evaluate the suitability of AVF as a permanent vascular access in pediatric populations. MATERIALS AND METHODS: Data were collected for all patients aged 0 to 19 years who underwent AVF creation for hemodialysis between January 2000 and June 2014. RESULTS: Fifty-two AVFs were created in 47 patients. Mean age was 15.7±3.2 years and mean body weight was 46...
September 2016: Vascular Specialist International
Takayuki Adachi, Tsutomu Sakurada, Takanori Otowa, Keita Uehara, Shina Sueki, Shigeki Kojima, Nagayuki Kaneshiro, Katsuomi Matsui, Tadahisa Tomohiro, Yugo Shibagaki
Vascular access intervention therapy (VAIVT) has been positioned as the first choice of treatment for stenosis lesions frequently observed in arteriovenous fistula (AVF) for hemodialysis patients in Japan. Furthermore, increased blood flow can provide a stable dialysis. In contrast, it has been reported that excess blood flow of AVF causes high-output heart failure. Although VAIVT is used to increase blood flow of AVF, the impact of VAIVT on cardiac load has been rarely reported. We examined the factors associated with cardiac load in hemodialysis patients undergoing VAIVT by measuring levels of α human atrial natriuretic polypeptide (hANP) and brain natriuretic peptide (BNP) before and after VAIVT...
October 2016: Hemodialysis International
Anna Maria Ierardi, Marco Franchin, Federico Fontana, Gabriele Piffaretti, Ejona Duka, Massimo Tonolini, Vittorio Miele, Matteo Tozzi, Gianpaolo Carrafiello
AIM: To evaluate the technical and clinical success, primary patency (PP) and complications of angioplasty performed with paclitaxel-coated balloon (PCBs) associated with cutting balloon and for the treatment of the outflow stenoses of failing hemodialysis arteriovenous shunt. MATERIAL AND METHODS: From September 2014 to September 2015, 50 patients with 66 stenoses were registered. Vascular accesses were autogenous (n = 20) and prosthetic (n = 30). Stenosis were documented during follow-up with routine echo-color Doppler, clinical evaluation and in the remaining incidentally during fistulography...
September 6, 2016: La Radiologia Medica
Hyo Jin Kim, Hajeong Lee, Dong Ki Kim, Kook-Hwan Oh, Yon Su Kim, Curie Ahn, Jin Suk Han, Seung-Kee Min, Sang-Il Min, Hyo-Cheol Kim, Kwon Wook Joo
BACKGROUND: Vascular access (VA) is essential for hemodialysis (HD) patients, and its dysfunction is a major complication. However, little is known about outcomes in patients with recurrent VA dysfunction. We explored the influence of recurrent VA dysfunction on cardiovascular (CV) events, death and VA abandonment. METHODS: This is a single-center, retrospective study conducted in patients who underwent VA surgery between 2009 and 2014. VA dysfunction was defined as VA stenosis or thrombosis requiring intervention after the first successful cannulation...
2016: American Journal of Nephrology
Jehad Almasri, Mouaz Alsawas, Maria Mainou, Reem A Mustafa, Zhen Wang, Karen Woo, David L Cull, M Hassan Murad
BACKGROUND: The decision about the type and location of a hemodialysis vascular access is challenging and can be affected by multiple factors. We explored the effect of several a priori chosen patient characteristics on access outcomes. METHODS: We searched MEDLINE, Embase, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Scopus through November 13, 2014. We included studies that evaluated patency, mortality, access infection, and maturation of vascular access in adults requiring long-term dialysis...
July 2016: Journal of Vascular Surgery
Jadranka Buturović-Ponikvar, Jakob Gubenšek, Miha Arnol, Tone Adamlje, Zlata Ceglar, Gabriela Damevska, Mateja Globokar, Senka Černe, Andrej Čufer, Andrej Drozg, Robert Ekart, Bojan Knap, Aljoša Kandus, Sonja Kapun, Simona Kralj-Lopert, Dimitrij Klančič, Natalija Kunc-Rešek, Stojan Kralj, Marko Malovrh, Marjan Močivnik, Gregor Novljan, Karmen Romozi, Igor Rus, Silvan Saksida, Bojan Vujkovac, Rafael Ponikvar
This report provides a summary of the 2013 Slovenian renal replacement therapy (RRT) data, obtained from 24 renal centers: 23 dialysis and one transplant center, referring from 31 December 2013, with 100% response rate to individual patient questionnaires. Slovenia had a population of 2 061 085 on 1 January 2014. The total number of patients treated by RRT was 2077, i.e. 1008.3 per million of population (pmp); 1349 (65%) were treated by hemodialysis, 52 (2.5%) by peritoneal dialysis, and 676 (32.5%) had a functioning kidney graft...
June 2016: Therapeutic Apheresis and Dialysis
Sarah D Kosa, Cynthia Bhola, Charmaine E Lok
PURPOSE: To understand the patient's perspective on complications associated with vascular access-related interventions. METHODS: A multi-stage comprehensive questionnaire of over 150 items was administered to 140 in-center hemodialysis patients in a large, Toronto-based academic-based facility from May 1, 2011 until July 1, 2014. The questionnaire was divided into three domains: physical complications, disruption to routine, and infection. For each of the 12 prespecified vascular access interventions, there were 9 items about the associated complications...
July 12, 2016: Journal of Vascular Access
Awad Magbri, Patricia McCartney, Eussera El-Magbri, Mariam El-Magbri, Taha El-Magbri
BACKGROUND & OBJECTIVES: Access monitoring and pre-emptive angioplasty is known to decrease the incidence of AVF/AVG thrombosis. The effect on increase the longevity and functionality of Arterial-Venous access (AV access) in end-stage renal disease (ESRD) patients is not settled. Thrombosis is the leading cause of vascular access complications and is almost always associated with the presence of stenosis. Percutaneous transluminal angioplasty (PTA) is an accepted treatment of stenotic lesions in AV access (NKF 2001)...
2016: Global Journal of Health Science
Hu Chen, De-Guang Wang, Liang Yuan, Gui-Ling Liu, Heng-Jie He, Juan Wang, Sen Zhang, Li Hao
BACKGROUND: The incidence of diabetic nephropathy (DN) increases year by year. However, clinical characteristics of DN patients on maintenance hemodialysis (MHD) were rarely reported in China. The purpose of this study was to examine the clinical characteristics of the DN patients on MHD in Anhui Province, Eastern China. METHODS: The clinical data of MHD patients in the hemodialysis centers of 26 hospitals in Anhui Province from January 1, 2014, to March 31, 2014, were examined...
June 5, 2016: Chinese Medical Journal
Monir Nobahar, Mohammad Reza Tamadon
INTRODUCTION: Patients undergoing hemodialysis require direct and continuous care. Identifying the barriers to and factors facilitating hemodialysis care can improve care quality. OBJECTIVES: The aim of this study was to assess the barriers and facilitators of care for hemodialysis patients. PATIENTS AND METHODS: This study was conducted as a qualitative study and it utilized content analysis approach. The study was performed in hemodialysis ward of Kowsar hospital in Semnan, in 2014...
2016: Journal of Renal Injury Prevention
T Khafagy, S Regal, M ElKassaby, E Saad
BACKGROUND: Vascular access has always been the Achilles heel of hemodialysis. Advances in health care have brought forward patients requiring treatment who have no veins suitable for creation of arteriovenous fistula (AVF) or insertion of central venous catheters. Use of an artery as permanent vascular access has been reported by many authors. This study reports brachial AAPL as an efficient and safe access for hemodialysis patients with central venous occlusion. METHODS: Between January 2011 and December 2014, 35 brachial arterio-arterial prosthetic loops (AAPL) were created...
June 2016: European Journal of Vascular and Endovascular Surgery
Ricardo Cintra Sesso, Antonio Alberto Lopes, Fernando Saldanha Thomé, Jocemir Ronaldo Lugon, Carmen Tzanno Martins
INTRODUCTION: National chronic dialysis data have had impact in the treatment planning. OBJECTIVE: To report data of the annual survey of the Brazilian Society of Nephrology about chronic kidney disease patients on dialysis in July 2014. METHODS: A survey based on data of dialysis units from the whole country. The data collection was performed by using a questionnaire filled out on-line by the dialysis units. RESULTS: Three hundred twelve (44%) of the dialysis units in the country answered the questionnaire...
March 2016: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
Kian-Guan Lee, Tze-Tec Chong, Nicholette Goh, Shaam Achudan, Yi-Liang Tan, Ru-Yu Tan, Lina Hui-Lin Choong, Chieh-Suai Tan
INTRODUCTION: Vascular access in hemodialysis is critical for effective therapy. We aim to evaluate the outcomes of AVF creation in incident hemodialysis patients, impact of preoperative vein mapping and predictors of successful AVF maturation in our center. METHODS: Data of End-stage Renal Disease (ESRD) patients initiated on hemodialysis from January 2010 to December 2012 in our center were retrospectively obtained from electronic medical records and clinical notes...
April 4, 2016: Nephrology
Jerry J Kim, Matthew Koopmann, Ezinne Ihenachor, Annie Zeng, Timothy Ryan, Christian deVirgilio
BACKGROUND: Routine upper extremity vein mapping by ultrasound (Ven-US) is recommended by current National Kidney Foundation/Kidney Disease Outcomes Quality Initiative guidelines before arteriovenous fistula (AVF) creation. However, the impact of concomitant arterial US (Art-US) examination is not clear. METHODS: The Ven-US protocol at our institution was modified to include Art-US starting January 2013. Therefore, retrospective review of patients who received Ven-US with Art-US between January 2013 and July 2014 was performed...
May 2016: Annals of Vascular Surgery
Agnes Masengu, James McDaid, Alexander P Maxwell, Jennifer B Hanko
OBJECTIVE: Guidelines recommend the creation of a wrist radiocephalic arteriovenous fistula (RAVF) as initial hemodialysis vascular access. This study explored the potential of preoperative ultrasound vessel measurements to predict AVF failure to mature (FTM) in a cohort of patients with end-stage renal disease in Northern Ireland. METHODS: A retrospective analysis was performed of all patients who had preoperative ultrasound mapping of upper limb blood vessels carried out from August 2011 to December 2014 and whose AVF reached a functional outcome by March 2015...
February 2016: Journal of Vascular Surgery
Adeline Schwein, Yannick Georg, Anne Lejay, Mathieu Roussin, Sebastien Gaertner, Dorothée Bazin-Kara, Fabien Thaveau, Nabil Chakfe
BACKGROUND: Use of the forearm basilic vein for the creation of an arteriovenous fistula has been codified as second-choice vascular access for hemodialysis in the last clinical guidelines of the Society for Vascular Surgery in 2008. Poor literature data on this technical option and on its evaluation and outcomes led us to initiate a retrospective single-center study. METHODS: We analyzed the outcomes of every arteriovenous fistula using the forearm basilic vein created in our department...
April 2016: Annals of Vascular Surgery
Krzysztof Letachowicz, Katarzyna Madziarska, Waldemar Letachowicz, Magdalena Krajewska, Józef Penar, Mariusz Kusztal, Tomasz Gołębiowski, Wacław Weyde, Marian Klinger
Chronic hemodialysis is implemented when irreversible loss of kidney function occurs. Sometimes renal recovery is overlooked. From January 2005 to December 2014, we identified 28 patients hemodialyzed for more than 3 months who had renal replacement therapy discontinued. The group consisted of 17 (57.7%) males and 11 (42.3%) females. Patients were 18-87 years old. Time of hemodialysis ranged from 3 to 97 months. Of note, 14 (50%) patients were referred from local dialysis units for solution of vascular access problems...
April 2016: Hemodialysis International
Wenhui Lei, Jiansong Ji, Jian Wang, Lie Jin, Hai Zou
In the present study, we performed an arterioarterial prosthetic loop (AAPL) between the femoral artery and deep femoral artery as a new access in patients who did not have adequate vascular conditions for creating an arteriovenous fistula or graft.Between April 2005 and June 2014, 18 patients received AAPL as a vascular access. During the procedure, a polytetrafluoroethylene graft was anastomosed to the femoral artery and deep femoral artery and looped on the thigh. We assessed the reliability and safety of AAPLs by analyzing complication, primary and secondary patency rates, and postoperative blood flow...
October 2015: Medicine (Baltimore)
Jerry J Kim, Gurpreet Dhaliwal, Gloria Y Kim, Edward D Gifford, Huan Yan, Matthew Koopmann, Timothy Ryan, Carlos Donayre, Rodney White, Jeanette Derdemezi, Christian DeVirgilio
Chronic kidney disease has been identified as a risk factor for mortality after procedures under general anesthesia (GA). However, a recent study showed that 85 per cent of arteriovenous fistulas in the United States are performed under GA. Our aim was to demonstrate that GA can be avoided in patients with chronic kidney disease and end-stage renal disease by using local anesthesia (LA) with monitored anesthesia care or brachial plexus block (BPB) during hemodialysis access surgery. A retrospective review was performed at a single institution...
October 2015: American Surgeon
Chih-Cheng Wu, Mu-Yang Hsieh, Szu-Chun Hung, Ko-Lin Kuo, Tung-Hu Tsai, Chao-Lun Lai, Jaw-Wen Chen, Shing-Jong Lin, Po-Hsun Huang, Der-Cherng Tarng
Hemodialysis vascular accesses are prone to recurrent stenosis and thrombosis after endovascular interventions.In vitro data suggest that indoxyl sulfate, a protein-bound uremic toxin, may induce vascular dysfunction and thrombosis. However, there is no clinical evidence regarding the role of indoxyl sulfate in hemodialysis vascular access. From January 2010 to June 2013, we prospectively enrolled patients undergoing angioplasty for dialysis access dysfunction. Patients were stratified into tertiles by baseline serum indoxyl sulfate levels...
April 2016: Journal of the American Society of Nephrology: JASN
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