Hemodialysis vascular access: The perils and potentials

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Hemodialysis Vascular Access: The Perils and Potentials

Registry data from around the world continue to report poor fistula maturation rates, and the majority of patients are starting dialysis with central venous catheters. In the USA in 2013, 80% of patients started dialysis with a catheter; a figure which has changed very little since 2005.[1] In the UK in 2011, 57% of patients started dialysis with a catheter.[2] Starting dialysis with a catheter...

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VASCULAR ACCESS FOR HEMODIALYSIS: OUR EXPERIENCE WITH 3337 CASES

Over a seven year period from 1982 to 1989,3337 conduits were created in 3137 patients with end stage renal disease (ESRD) as access for chronic dialysis. These included 2690 side-to-side arteriovenous fistulae (A VF), 168 end-to-side A VFs, 10 autogenous vein grafts, 51 homogenous frozen vein grafts, 109 polytetrafluoroethylene (PTFE) grafts, 209 emergency external arteriovenous shunts, t...

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Hemodialysis Vascular Access Dysfunction

A successful functioning vascular access is the “lifeline” for a hemodialysis patient. Hemodialysis vascular access dysfunction is a major cause of morbidity and mortality in hemodialysis patients1-3. Improving vascular access outcomes remains an ongoing challenge for nephrologists, vascular access surgeons, and interventionists. In arteriovenous fistulas (AVF) and grafts (AVG), the most common...

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[Vascular access for hemodialysis].

Reference is made to a personal series of vascular accesses for haemodialysis on 273 patients aged 6 months to 70 yr. During the course of 12 years, 533 operations were performed: 109 cannulations of the saphena, 152 by-pass, 251 arteriovenous fistulae (including 22 on patients under 10 yr of age), and 21 "difficult accesses". An assessment of the advantages and disadvantages of the techniques ...

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Vascular Access for Hemodialysis

Patients with acute kidney failure (AKF) and chronic kidney failure (CKF) require an appropriate vascular access for hemodialysis [1]. Vascular access is needed to allow blood flow through an extracorporeal circulation system with a blood pump connected to a hemodialysis monitor driving the blood through a dialysis filter (dialysator). Satisfactory levels of blood flow range between 300 and 400...

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ژورنال

عنوان ژورنال: Indian Journal of Nephrology

سال: 2017

ISSN: 0971-4065

DOI: 10.4103/0971-4065.196935