We present a case of 67-year-old male with end-stage renal disease (ESRD) on hemodialysis who was admitted to the hospital after recurrent falls secondary postural hypotension. He not able tolerate fluid removal dialysis due persistent hypotension despite maximal doses midodrine and developed severe edema. A right heart catheterization revealed raised biventricular filling pressure consistent f...

BACKGROUND The purpose of this study was to evaluate the use of a Fogarty arterial embolectomy catheter (Fogarty catheter) in intraoperative balloon angioplasty of the cephalic vein, in order to determine its effect on the patency of arteriovenous fistulas (AVFs) created for hemodialysis access. METHODS A total of 156 patients who underwent creation of an AVF were divided into two groups, bas...

AIM To determine whether apoptosis is more common in previously punctured native veins than in non-punctured native veins among patients who undergo surgical creation of arteriovenous fistula (AVF) for dialysis access. METHODS Cephalic vein specimens were obtained from January 1, 2013 to December 31, 2014 from 60 patients, 30 with previously punctured native veins and 30 with non-punctured na...

AIM To investigate if immediate arterial distention can be used as a predictive factor for the development of a good fistula. MATERIAL AND METHODS Over a 5-months period (January- May 2015) all the patients who underwent an arteriovenous fistula between the radial artery and the cephalic vein of the forearm at the Second Surgical Clinic of the Iasi Regional Cancer Institute and were willing t...

Sir, In the literature, the treatment of an arterial steal syndrome in patients with dialysis fistula has been described to mainly concentrate on decreased or abolished blood flow through the arteriovenous shunt, or bypassing the fistula w1–4x. An important cause of the steal phenomenon in a limb distal to a dialysis fistula is, however, distal artery occlusive disease, reducing limb perfusion ...

BACKGROUND An arteriovenous fistula is the optimal form of vascular access in patients with end-stage renal failure requiring haemodialysis. Unfortunately, approximately one-third of fistulae fail at an early stage. Different anaesthetic techniques can influence factors associated with fistula success, such as intraoperative blood flow and venous diameter. A regional anaesthetic brachial plexus...