Stent Grafts Can Convert Unusable Upper Arm Arteriovenous Fistulas into a Functioning Hemodialysis Access: A Retrospective Case Series

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Stent Grafts Can Convert Unusable Upper Arm Arteriovenous Fistulas into a Functioning Hemodialysis Access: A Retrospective Case Series

INTRODUCTION Not all newly created arteriovenous fistulas (AVFs) successfully mature and develop into a functioning access for hemodialysis. Percutaneous transluminal angioplasty (PTA) and balloon-assisted maturation (BAM) have been utilized to either treat flow-limiting stenoses or to promote and accelerate maturation. We hypothesized that unusable upper arm AVFs can be rescued by conversion t...

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Arteriovenous FistulAs versus Arteriovenous GrAFts

For the nephrologist and surgeon, maintaining vascular access is a significant challenge in hemodialysis (HD), because the portal is vulnerable to infection, stenosis, and thrombus. Vascular access options for HD include the placement of arteriovenous (AV) fistulas, AV grafts, and double-lumen, cuffed central vein catheters. Catheter use is generally associated with higher rates of infection an...

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Comparison of survival of upper arm arteriovenous fistulas and grafts after failed forearm fistula.

Although arteriovenous fistulas are considered superior to grafts, it is unknown whether that is true in the subset of patients with a previous failed fistula. For investigation of this question, a prospective vascular access database was queried retrospectively to compare the outcomes of 59 fistulas and 51 grafts that were placed in the upper arm after primary failure of an initial forearm fis...

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Contrast-Enhanced MR Angiography of Failing Hemodialysis Arteriovenous Fistulas and Grafts: A Preliminary Experience

treatment of stenoses by percutaneous intervention has been shown to increase the longevity of the dialysis shunts (1, 2). In current clinical practice, detection and grading of the stenosis are usually performed using color doppler sonography and digital subtraction angiography (DSA) (3, 4). Color doppler sonography is obviously the first choice of diagnostic method and it can non-invasively d...

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Creating arteriovenous fistulas in 132 consecutive patients: exploiting the proximal radial artery arteriovenous fistula: reliable, safe, and simple forearm and upper arm hemodialysis access.

HYPOTHESIS Dialysis by native arteriovenous fistula (NAVF) clearly offers lower infection rates, fewer procedures, and lower mortality risk compared with access by catheter or graft, in addition to lower cost. However, NAVFs are utilized for vascular access in only 30% of hemodialysis patients in the United States. Wrist NAVFs are not feasible or successful in many patients and upper arm brachi...

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ژورنال

عنوان ژورنال: Frontiers in Surgery

سال: 2017

ISSN: 2296-875X

DOI: 10.3389/fsurg.2017.00013