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JOURNAL ARTICLE
H S Suraj, Sakalecha Anil Kumar, N Rachegowda, Govindaraju Tirupathi Rajeswari, L Yashas Ullas, R B Revanth
Introduction Arteriovenous fistulas (AVFs) are the preferred type of vascular access for hemodialysis due to their lower risk of complications. This study aimed to determine the role of Doppler evaluation in assessing AVF. Materials and methods We conducted an 18-month prospective observational study of 33 hemodialysis patients who underwent a procedure for the creation of AVF at the Department of Radio-Diagnosis at Sri Devaraj Urs Academy of Higher Education and Research. Patients were evaluated using color Doppler ultrasound...
March 2024: Curēus
#22
JOURNAL ARTICLE
Riley Brian, Elizabeth Lancaster, Jade Hiramoto
BACKGROUND: Despite widespread efforts to combat the opioid epidemic, an ongoing contributor to opioid misuse remains post-operative opioid overprescribing by residents. The goal of this study was to evaluate the impact of a low-cost, reproducible "just in time" intervention on opioid prescribing in dialysis access operations. METHODS: Standardized opioid prescribing guidelines were emailed to residents on the vascular service on the first day of the rotation. Opioid prescriptions were reviewed for four years before and one year after this intervention...
March 28, 2024: American Journal of Surgery
#23
EDITORIAL
Litton Whitaker, Yana Etkin
No abstract text is available yet for this article.
April 2024: Journal of Vascular Surgery Cases and Innovative Techniques
#24
JOURNAL ARTICLE
Enad Alsolami, Sami Alobaidi
Hemodialysis continues to be the primary approach for renal replacement therapy. Vascular access (VA), particularly arteriovenous fistula or arteriovenous graft, is the preferred technique for establishing hemodialysis access due to its lower risk of infection and central venous stenosis compared to catheters. The aim of this cross-sectional investigation was to examine hemodialysis nurses' knowledge, confidence, and practices in managing VA in Saudi Arabia. This is an online cross-sectional survey study that was conducted in Saudi Arabia between June and August 2023...
March 29, 2024: Medicine (Baltimore)
#25
JOURNAL ARTICLE
Elshaimaa M Mohamed, Mohamad Gamal Nada, Yasmin Ibrahim Libda, Mona Mohammed Refaat
PURPOSE: Haemodialysis provides various options for vascular access, including native arteriovenous fistulas (AVFs), arteriovenous grafts (AVGs), and central intravenous catheters. However, the use of catheters should be avoided due to their association with greater risks when opposed to AVFs or AVGs. AVFs have garnered strong endorsement as the favoured vascular access choice for extended haemodialysis. MATERIAL AND METHODS: A total of 200 patients initially diagnosed with AVF/AVG dysfunction were referred to the radiology department across 3 different institutions...
2024: Polish Journal of Radiology
#26
JOURNAL ARTICLE
Muhammad Saad Hafeez, Othman M Abdul-Malak, Katherine M Reitz, Catherine Go, Mohammad H Eslami, Rabih A Chaer, Theodore H Yuo
INTRODUCTION: Arteriovenous fistula (AVF) creation during an inpatient hospitalization is often performed for patient convenience and to ensure compliance. We sought to evaluate whether this approach has comparable outcomes to outpatient AVF creation. METHODS: We identified patients undergoing index AVF creation from the United States Renal Data System dataset (2012-2017). Patients were grouped into outpatient and inpatient. Outpatient included patients that were operated in either an outpatient setting, ambulatory surgical center or were admitted inpatient on the day of AVF creation...
March 27, 2024: Journal of Vascular Access
#27
JOURNAL ARTICLE
Sabrina L Lanker, Christopher J Pino, H David Humes, Lakhmir Chawla, Kimberly A Johnston
INTRODUCTION: The manual single lumen alternating micro-batch hemodiafiltration (mSLAMB) system is a closed-loop dialysis system designed to provide kidney support in emergency situations (e.g., fluid overload, hyperkalemia, acidemia). If done repeatedly in small batches and at high flow rates, this system was found to achieve clearance levels comparable to traditional renal replacement therapy (RRT). METHODS: Using a porcine model, uremic toxins and exogenous fluorescent tracer concentrations were successfully lowered within just 1 hour of treatment...
March 27, 2024: Blood Purification
#28
JOURNAL ARTICLE
Vincenzo Pasceri, Francesco Pelliccia, Roxana Mehran, George Dangas, Italo Porto, Francesco Radico, Fausto Biancari, Fabrizio D'Ascenzo, Francesco Saia, Giampaolo Luzi, Francesco Bedogni, Ignacio J Amat Santos, Vincenzo De Marzo, Arnaldo Dimagli, Timo Mäkikallio, Eugenio Stabile, Sara Blasco-Turrión, Luca Testa, Marco Barbanti, Corrado Tamburino, Franco Fabiocchi, Ahmed Chilmeran, Federico Conrotto, Giuliano Costa, Giulio Stefanini, Carmen Spaccarotella, Andrea Macchione, Michele La Torre, Francesco Bendandi, Tatu Juvonen, Wojciech Wańha, Wojtek Wojakowski, Umberto Benedetto, Ciro Indolfi, David Hildick-Smith, Marco Zimarino
BACKGROUND: Dialysis is a rare but serious complication after transcatheter aortic valve replacement. We analyzed the large multicenter TRITAVI (transfusion requirements in transcatheter aortic valve implantation) registry in order to develop and validate a clinical score assessing this risk. METHODS AND RESULTS: A total of 10 071 consecutive patients were enrolled in 19 European centers. Patients were randomly assigned (2:1) to a derivation and validation cohort...
March 27, 2024: Journal of the American Heart Association
#29
JOURNAL ARTICLE
Matthias Bergmann, Butros Fakhoury, Tiago Barroso, Scott G Prushik, Bertrand L Jaber, Vaidyanathapuram S Balakrishnan
INTRODUCTION: Arteriovenous fistulas and grafts are lifelines for most hemodialysis patients, and a low access flow rate often requires patency-related intervention, such as angioplasty or thrombectomy, to prevent access failure. We examined whether early access flow rate, measured after initial fistula/graft cannulation, predicts vascular access patency-related intervention within 1 year. METHODS: This was a single-center retrospective cohort study. Among 172 patients undergoing surgical creation of a fistula/graft, 52 (30...
March 27, 2024: Hemodialysis International
#30
JOURNAL ARTICLE
Ju-Yin Hsu, Chih-Kuo Lee, Shou-Yung Chaung, Chi-Hung Cheng, Li-Pei Dai, Mu-Yang Hsieh, Chung-Wei Yang, Chih-Cheng Wu
BACKGROUND: Cardiovascular diseases are the leading cause of death among patients on hemodialysis, with approximately 40% of the cardiovascular deaths linked to acute coronary syndrome. We aimed to investigate the incidence and risk factors of acute coronary syndrome in patients undergoing hemodialysis. METHODS: Patients undergoing hemodialysis were prospectively enrolled from January 2018. Data regarding hospitalization due to acute coronary syndrome were collected at 3-month intervals through December 31, 2021...
March 2024: Acta Cardiologica Sinica
#31
JOURNAL ARTICLE
Szu-Han Wang, Chih-Chang Ko, Yi-Ling Kuo, Yu-Wen Chiu, Jih-Sheng Wen, Ming-Cheng Wang, Ting-Hsing Chao, Hsien-Yuan Chang
BACKGROUND: Vascular access dysfunction is a great burden for hemodialysis patients. Early intervention of a dysfunctional arteriovenous shunt is associated with higher technical success and may improve midterm patency. This trial aimed to estimate the feasibility of a new system, the "rapid intervention team" (RIT) strategy. METHODS: We recruited hemodialysis patients who visited our hospital because of arteriovenous shunt dysfunction or failure to undergo an RIT strategy from September 1, 2019, to December 31, 2022...
March 26, 2024: Journal of the Chinese Medical Association: JCMA
#32
EDITORIAL
Brammah Rajarajeswaran Thangarajah
The desperate attempt to improve mortality, morbidity, quality of life and patient-reported outcomes in patients on hemodialysis has led to multiple attempts to improve the different modes, frequencies, and durations of dialysis sessions in the last few decades. Nothing has been more appealing than the combination of diffusion and convection in the form of hemodiafiltration. Despite the concrete evidence of better clearance of middle weight molecules and better hemodynamic stability, tangible evidence to support the universal adoption is still at a distance...
2024: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
#33
Meriam Hajji, Salah Saied, Ikram Mami, Yassine Khadhar, Tasnim Ben Ayed, Imen Gorsane, Fethi Ben Hamida, Jalel Ziadi, Mohamed Karim Zouaghi, Ezzeddine Abderrahim
INTRODUCTION: Longer survival in dialysis led to a higher incidence of vascular access complications and failure. With the limited access to kidney transplantation programs and peritoneal dialysis, exhaustion of vascular access for hemodialysis is an increasingly common situation. Among the available options, atrial tunneled dialysis catheter (ATDC) has been reported as an effective vascular access in this population. Methodology . We report the experiences of two nephrology centers in Tunis with ATDC as an ultimate vascular access for dialysis...
2024: Case Reports in Nephrology
#34
JOURNAL ARTICLE
Elena Ajello, Antonio Arresta, Riccardo Rutili, Salvatore Aronica, Rigo Lorenzo, Elia Monti, Martina Galletti, Luigi Cannizzo, Luciano Giannini, Alberto Lucchini, Federico Pieruzzi, Stefano Elli
BACKGROUND: Peripherally Inserted Central Catheters play an increasingly important role in Central Venous Access Devices. However, the use of these devices should be carefully considered in specific situations such as central catheterisation in patients with chronic kidney disease. When evaluating the feasibility of placement for a patient undergoing dialysis, the relationship between changes in circulating volume before and after dialysis treatment, and potential variations in the size of deep veins in the upper limbs, should be considered...
March 22, 2024: Journal of Vascular Access
#35
Angel Hsu, Michael S Segal, Michael Addis
We present the case of a 38-year-old man with end-stage renal disease receiving hemodialysis via a left femoral loop graft who developed debilitating back pain. During a maintenance fistulogram, we found a completely occluded inferior vena cava and engorged lumbar veins. The patient underwent inferior vena cava reconstruction with stenting, which resulted in complete resolution of the engorged lumbar veins on venography and a significant reduction in his back pain. Engorgement of the lumbar veins can cause significant pain, and treatment of the underlying pathology can alleviate these symptoms...
June 2024: Journal of Vascular Surgery Cases and Innovative Techniques
#36
REVIEW
Gaetano Alfano, Niccolò Morisi, Silvia Giovanella, Monica Frisina, Alessio Amurri, Lorenzo Tei, Maria Ferri, Giulia Ligabue, Gabriele Donati
Patients requiring dialysis are extremely vulnerable to infectious diseases. The high burden of comorbidities and weakened immune system due to uremia and previous immunosuppressive therapy expose the patient on dialysis to more infectious events than the general population. The infectious risk is further increased by the presence of endovascular catheters and implantable cardiologic devices. The former is generally placed as urgent vascular access for dialysis and in subjects requiring hemodialysis treatments without autogenous arteriovenous fistula...
March 20, 2024: Journal of Vascular Access
#37
JOURNAL ARTICLE
Burak Tamtekin, Güler Gülsen Ersoy
BACKGROUND: In this study, we evaluated our surgical approach in requiring surgical treatment of brachiocephalic arteriovenous fistula (AVF) aneurysms for salvage of AVF. METHODS: Between 2012 and 2022, 20 patients (16 men, 4 women; mean age 54.5 years) who were surgically treated for a brachiocephalic AVF aneurysm in our Cardiovascular Surgery Clinic were evaluated retrospectively. These 20 patients were operated on for aneurysm thrombosis and fistula failure in 16 patients, sudden rupture and severe bleeding in 3 patients, cosmetic reasons, and anxiety in 1 patient...
March 20, 2024: Journal of Vascular Access
#38
JOURNAL ARTICLE
Martin Brzoska, Tung Pham Son, Christian Dorbath, Roland Veith, Gunnar Henrik Heine
Dialysis access thrombosis is a common complication in the process of care. With the introduction of endovascular AV-fistulas [AVF]s the situation gained complexity with new potential thrombosis localizations. Several thrombectomy methods are available for recanalization of thrombosed AVFs ranging from invasive surgical methods to minimal invasive endovascular approaches. Early assessment, diagnosis and treatment is crucial for prolonging the life span of an AVF and preventing the need for placement of central venous catheters...
March 20, 2024: Journal of Vascular Access
#39
REVIEW
David B Kingsmore, Ben Edgar, Emma Aitken, Francis Calder, Marco Franchin, Colin Geddes, Nick Inston, Andrew Jackson, Rob G Jones, Nikolaos Karydis, Ram Kasthuri, Gaspar Mestres, Georgios Papadakis, Rajesh Sivaprakasam, Mike Stephens, Karen Stevenson, Callum Stove, Lazslo Szabo, Peter C Thomson, Matteo Tozzi, Richard D White
BACKGROUND: Introducing new procedures and challenging established paradigms requires well-designed randomised controlled trials (RCT). However, RCT in surgery present unique challenges with much of treatment tailored to the individual patient circumstances, refined by experience and limited by organisational factors. There has been considerable debate over the outcomes of arteriovenous grafts (AVG) compared to AVF, but any differences may reflect differing practice and potential variability...
March 19, 2024: Journal of Vascular Access
#40
JOURNAL ARTICLE
Charmaine E Lok, Thomas S Huber, Ani Orchanian-Cheff, Dheeraj K Rajan
IMPORTANCE: Hemodialysis requires reliable vascular access to the patient's blood circulation, such as an arteriovenous access in the form of an autogenous arteriovenous fistula or nonautogenous arteriovenous graft. This Review addresses key issues associated with the construction and maintenance of hemodialysis arteriovenous access. OBSERVATIONS: All patients with kidney failure should have an individualized strategy (known as Patient Life-Plan, Access Needs, or PLAN) for kidney replacement therapy and dialysis access, including contingency plans for access failure...
March 18, 2024: JAMA
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