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vascular access for crf

Mauricio Millan, Luis A Caicedo, Jorge I Villegas, Oscar Serrano, Liliana Caicedo, Mauricio Duque, Laura S Thomas, Gabriel J Echeverri
INTRODUCTION: One of the frequent complications suffered by patients with chronic renal failure is the lack of vascular access due to venous thrombosis. This means that the transplant surgeon must have a detailed knowledge of the intra-abdominal venous system, and other alternative surgeries, at the time of performing the renal graft implant, in order to ensure a good venous drainage. PRESENTATION OF THE CASE: This article provides a case report regarding a patient with no vascular access and with surgical difficulties at the time of the kidney transplant, in whom a renal-portal venous drainage was performed with very good outcome...
September 30, 2016: International Journal of Surgery Case Reports
Duncan A Meiklejohn, Dylan K Chan, M Lauren Lalakea
Subtotal parathyroidectomy may be indicated in patients with chronic renal failure and tertiary hyperparathyroidism, a population at increased risk for central venous stenosis (CVS) due to repeated vascular access. Here we report a case of complete upper airway obstruction precipitated by subtotal parathyroidectomy with ligation of anterior jugular vein collaterals in a patient with occult CVS. This case demonstrates a previously unreported risk of anterior neck surgery in patients with chronic renal failure...
July 2016: Ear, Nose, & Throat Journal
Belkacem Issad, Guy Rostoker, Corinne Bagnis, Gilbert Deray
Acute renal failure (ARF) in adults in the intensive care unit (ICU) often evolves in a context of multiple organ failure, which explains the high mortality rate and increase treatment needs. Among, two modalities of renal replacement therapy, peritoneal dialysis (PD) was the first modality used for the treatment of ARF in the 1950s. Today, while PD is generalized for chronic renal failure treatment, its use in the ICU is limited, particularly, due to the advent of new hemodialysis techniques and the development of continuous replacement therapy...
July 2016: Néphrologie & Thérapeutique
Ilker Murat Arer, Hakan Yabanoglu
INTRODUCTION: Hemodialysis with arteriovenous fistula (AVF) has been widely accepted treatment modality for patients with chronic renal failure (CRF). Radiocephalic fistulas are considered to be the most desirable for the initial vascular access. The aim of this study is to investigate the surgeon factor on radiocephalic fistula patency rates. METHODS: A total of 186 patients with diagnosis of CRF underwent Radiocephalic fistula for hemodialysis access were included...
February 2016: Annals of Medicine and Surgery
Yoshiaki Takemoto, Toshihide Naganuma
We analyzed the current health economics of vascular access (VA) procedures in Japan. Results showed that the yearly VA-related medical expenses were as high as JPY20 billion and accounted for 1.4% of the total healthcare cost for chronic renal failure. The United States Renal Data System (USRDS) statistics showed that in the USA the yearly VA-related medical expenses accounted for 1.2% of the total medical cost for chronic renal failure, indicating that the costs did not differ much between the two countries...
November 2015: Journal of Vascular Access
D D Bell
Progression in hemodialysis technology and vascular access techniques has led to many patients remaining on chronic hemodialysis for significantly greater periods of time. The surgically constructed arteriovenous fistula at the wrist, mid-forearm, or antecubital fossa presents the most ideal and long-term angioaccess. Adequate radial or brachial arterial flow is mandatory for success, and moderate to large sized patent superficial arm veins are even more critical for immediate and long-term patency. A properly selected and constructed fistula has primary patency rates often exceeding five and ten years...
October 1993: Surgical Technology International
Myoung Jo Kim, Sangchul Yun, Dan Song, Sung Woo Cho, Dong Erk Goo, Yong Jae Kim, Dongho Choi
BACKGROUND: A shunt is usually created from the distal arm (wrist) to the proximal arm (axillary loop) as long as no central stenosis has occurred. Creating vascular access in a patient with central vein stenosis could induce venous hypertension in the upper extremities. In such patients, an ipsilateral internal jugular vein (IJV) as an arteriovenous (AV) outflow vein should be the last option for using a particular arm. METHODS: Thirty-two patients who had AV hemodialysis access via a jugular vein were analyzed retrospectively from 2001 to 2011...
July 2015: Journal of Vascular Access
Parag Sahasrabudhe, Tushar Dighe, Nikhil Panse, Shraddha Deshpande, Amit Jadhav, Sheetal Londhe
BACKGROUND: This study describes our experience of arteriovenous fistula (AVF) creation as vascular access for haemodialysis. MATERIALS AND METHODS: This study has been carried out in our hospital from January 2004 to December 2012. A total of 505 AVFs were created in 443 patients. Maximum follow-up was 8 years, and minimum was 6 months. OBSERVATIONS AND RESULTS: In this study of 505 cases of AVFs, primary patency rates by Kaplan - Meier analysis showed 78...
September 2014: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
A D Aslanov, A N Kosenkov, A G Kugotov, O E Logvina, L N Iskhak, M A Gotyzhev, A Kh Kugotov, A T Édigov, L A Tlupova
The article presents an experience of arteriovenous fistulas forming and using in 78 patients with end-stage chronic renal failure undergoing hemodialysis. New methods for permanent vascular accesses forming were suggested. These techniques increased the operation period of arteriovenous fistulas.
2014: Khirurgiia
Narongchai Wongkonkitsin, Supatcha Prasertcharoensuk
OBJECTIVE: Vascular access for hemodialysis is the mode of renal replacement therapy for chronic renal failure patients. The present study reports patency rates of arteriovenous fistula (AVF) and graft (AVG). MATERIAL AND METHOD: Between July 2008 and June 2011, 336 vascular accesses were performed in 293 patients in Department of Surgery, Faculty of Medicine, Khon Kaen University. The patient was follow until June 2012. A retrospective review was conduct to analyze patency rate...
March 2014: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
D Janák, R Novotný, M Slavíková, T Grus, J Lindner
Infection of prosthetic hemodialysis (HD) shunts is one of the most common complications of vascular access in hemodialysis patients. The incidence of anaerobic infection is very rare. In such a case, management of treatment represents a great challenge for the surgeon. We report a complicated case of autologous hemodialysis shunt infected by Clostridium perfringens on the right forearm in a polymorbid female patient with chronic renal failure and myelodysplastic syndrome. The patient has undergone repeated establishment of HD shunt with subsequent polybacterial local infectious complications...
June 2014: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Elif Funda Şener, Ömer Naci Emiroğulları, Faruk Serhatlıoğlu, Yusuf Özkul
OBJECTIVE: Endothelial nitric oxide synthase (eNOS) gene is a candidate gene in cardiovascular and renal diseases. Several polymorphic variations have been identified in eNOS gene. We investigated a potential role of arteriovenous fistula (AVF) thrombosis and intron 4 and G894T polymorphisms in chronic renal failure. METHODS: We performed a case-control observational study involving 79 with/without AVF thrombosis in chronic renal failure patients. All subjects were genotyped by the polymerase chain reaction (PCR) and PCR-Restriction Fragment Length Polymorphism...
May 2014: Anadolu Kardiyoloji Dergisi: AKD, the Anatolian Journal of Cardiology
Elif Funda Sener, Omer Naci Emiroğulları, Faruk Serhatlıoğlu, Yusuf Ozkul
OBJECTTIVE: Endothelial nitric oxide synthase (eNOS) gene is a candidate gene in cardiovascular and renal diseases. Several polymorphic variations have been identified in eNOS gene. We investigated a potential role of arteriovenous fistula (AVF) thrombosis and intron 4 and G894T polymorphisms in chronic renal failure. METHODS: We performed a case-control observational study involving 79 with/without AVF thrombosis in chronic renal failure patients. All subjects were genotyped by the polymerase chain reaction (PCR) and PCR-Restriction Fragment Length Polymorphism (RFLP)...
February 20, 2014: Anadolu Kardiyoloji Dergisi: AKD, the Anatolian Journal of Cardiology
Mohammad Mozaffar, Mahtab Fallah, Saran Lotfollahzadeh, Mohammad Reza Sobhiyeh, Barmak Gholizadeh, Sayena Jabbehdari, Zeinab Mahdi
BACKGROUND: In candidate patients for permanent hemodialysis or dialysis on a regular basis, an appropriate vascular access has great importance. The best permanent access is AVF (arterio venous fistula). Use of a technique to create AVF with better patency seems to be logical. OBJECTIVES: The present study aimed to compare the efficacy rate of AVFs using two different anastomosis methods; Side to Side (STS) versus End to Side (ETS) and to determine whether the different approaches render any preferences or complications...
July 1, 2013: Nephro-urology Monthly
Milady Cutrim Vieira Cavalcante, Zeni Carvalho Lamy, Fernando Lamy Filho, Ana Karina Teixeira da Cunha França, Alcione Miranda dos Santos, Erika Bárbara Abreu Fonseca Thomaz, Antonio Augusto Moura da Silva, Natalino Salgado Filho
INTRODUCTION: There is a known association between low scores for quality of life (QOL) and higher rates of hospitalization, mortality in hemodialysis vascular access catheter, older age, lack of regular occupation, presence of comorbidities and hypoalbuminemia. There is still no agreement about the influence of sex, educational level, socioeconomic status and treatment time on the worst levels of QOL. OBJECTIVE: Identify socioeconomic, demographic, clinical, nutritional and laboratory factors associated with worse QOL in adults undergoing hemodialysis in Sao Luís, Maranhão, Brazil...
April 2013: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
F Floccari, A Granata, R Rivera, F Marrocco, A Santoboni, M Malaguti, S Andrulli, L Di Lullo
TAPSE measurement during echocardiography is a well known measure of right heart systo-diastolic function. Low TAPSE means reduced cranio-caudal excursion of tricuspidal annulus, sign of both reduced ejection fraction and reduced distensibility of right ventricle. It is a good prognostic index for cardiac mortality risk in CHF patients, adding significant prognostic information to NYHA stadiation. Nephrologists do not always fully aware of right ventricular function in their patients affected by chronic renal failure (CRF), even if this datum is probably crucial in vascular access policy...
December 2012: Journal of Ultrasound
Yuri Battaglia, Antonio Granata, Pasquale Zamboli, Tiziano Lusenti, Luca Di Lullo, Fulvio Floccari, Franco Logias, Alessandro D'Amelio, Fulvio Fiorini
In recent decades, the survival of dialysis patients has gradually increased thanks to the evolution of dialysis techniques and the availability of new drug therapies. These elements have led to an increased incidence of a series of dialysis-related diseases that might compromise the role of dialysis rehabilitation: vascular disease, skeletal muscle disease, infectious disease, cystic kidney disease and cancer. The nephrologist is therefore in charge of a patient group with complex characteristics including the presence of indwelling vascular and/or peritoneal catheters, conditions secondary to chronic renal failure (hyperparathyroidism, anemia, amyloid disease, etc...
November 2012: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
Jeong-Im Choi, Sung-Gun Cho, Joo-Hark Yi, Sang-Woong Han, Ho-Jung Kim
Ultrasound-guided cannulation of a large-bore catheter into the internal jugular vein was performed to provide temporary hemodialysis vascular access for uremia in a 65-yr-old woman with acute renal failure and sepsis superimposed on chronic renal failure. Despite the absence of any clinical evidence such as bleeding or hematoma during the procedure, a chest x-ray and computed tomographic angiogram of the neck showed that the catheter had inadvertently been inserted into the subclavian artery. Without immediately removing the catheter and applying manual external compression, the arterial misplacement of the hemodialysis catheter was successfully managed by open surgical repair...
October 2012: Journal of Korean Medical Science
Zeki Aydin, Meltem Gursu, Sami Uzun, Serhat Karadag, Emel Tatli, Abdullah Sumnu, Savas Ozturk, Rumeyza Kazancioglu
Aims. Vascular access is of prime importance for hemodialysis patients. We aimed to study early complications of hemodialysis catheters placed in different central veins in patients with acute or chronic renal failure with or without ultrasound (US ) guidance. Material and Methods. Patients who were admitted to our unit between March 2008 and December 2010 with need for vascular access have been included. 908 patients were examined for their demographic parameters, primary renal disease, and indication for catheterization, type and location of the catheter, implantation technique, and acute complications...
2012: International Journal of Nephrology
Muhip Kanko, Cenk Sen, Sadan Yavuz, Cigdem Unal, Ahmet Aksoy, Turan Berkı
BACKGROUND: Obtaining vascular access suitable for long-term use in hemodialysis patients is of utmost importance. In these patients, autogenous methods are generally used for access. There are various techniques for obtaining autogenous access in hemodialysis patients. MATERIAL/METHODS: Our objective was to evaluate the outcomes of the "diamond-shaped anastomosis" technique used as a surgical technique during the creation of arteriovenous fistulas in patients with chronic renal failure...
September 2012: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
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