Salvaging vascular access and treatment of severe limb edema: case reports on the novel use of the hemodialysis reliable outflow vascular access device.
نویسندگان
چکیده
We report two cases in which patients on chronic hemodialysis presented with morbid unilateral edema of the upper extremity and chest on the side of a currently functioning arteriovenous access. Both patients were known to the vascular surgery service and had previously undergone multiple attempts to create and maintain vascular access. Both severe and disabling edema and the need to maintain dialysis access were of significant concern. These patients were taken to the operating room to address both issues. Upper extremity venography with central venous runoff revealed central vein stenosis and/or occlusion resistant to angioplasty and stenting. Ultimately, these two patients received the Hemodialysis Reliable Outflow vascular access device. The experiences in this study demonstrate the novel use of a relatively new vascular access device for salvage of a malfunctioning arteriovenous fistula or graft as well as treatment of symptoms and complications resulting from long standing vascular access.
منابع مشابه
Effect of combination of alcohol and Betadine on the severity of inflammation in the vascular access site in hemodialysis patients
Background: Inflammation in the vascular access site results in infection, which is the second leading cause of death in hemodialysis patients. However, there is no specific protocol available for sterilization before vascular access in such patients. Aim: to determine the effect of the combination of alcohol and Betadine on the severity of inflammation in the vascular access site in hemodialys...
متن کاملHemodialysis Reliable Outflow (HeRO) Graft device: a lifesaving solution in multiple vascular access failure in haemodialysis patients
The increasing prevalence of end ‐stage chronic kidney disease associated with advances in treatment is expected to lead to improved survival rates of chronic haemodialysis patients in Portugal. Establishing and maintaining vascular access patency is becoming a challenging issue in these patients. We present a case report of a multiple vascular access failure patient to whom a novel vascular ac...
متن کاملتعیین میزان شیوع و بقاء روشهای مختلف دستیابی عروقی در بیماران مبتلا به بیماری کلیوی مرحله انتهای (ESRD) تحت همودیالیز مزمن در تهران در سال 1384
Background and Aim: Hemodialysis is the most common procedure which is performed for end-stage renal disease (ESRD) patients. Furthermore, vascular access is an important aspect of hemodialysis treatment, provided for patients with ESRD. There are different reports on the prevalence and survival of vascular access. In this study we report the prevalence and survival probability of vascular ...
متن کاملTHE EFFECT OF EVIDENCE-BASED EDUCATION ON THE KNOWLEDGE OF NURSING STUDENTS IN THE CARE OF HEMODIALYSIS VASCULAR ACCESS
Background & Aim: One of the basic and important needs of hemodialysis patients is vascular access. Nursing students as members of the health team and future nurses, play an essential role in the safety management of hemodialysis patients and therefore, their training is important to support patient safety. Today, evidence-based education with the objective of explicit and rational use of the b...
متن کاملComparison of the effect of rinsing the vascular access site for hemodialysis with Betadine scrub and soap by patient on the frequency and onset of local inflammation and infection
Background: Despite the implementation of nursing measures in disinfecting the vascular access site for hemodialysis, this area is responsible for 23 to 73 percent of bacteremias occurring in these patients. Participation of the patients in washing this area may be helpful. Aim: this study was conducted to determine and compare the effect of washing vascular access site for hemodialysis with ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Annals of vascular surgery
دوره 25 3 شماره
صفحات -
تاریخ انتشار 2011