OBJECTIVE Arteriovenous fistulae traditionally have been placed in the upper extremity. Experience with groin hemodialysis access has been discouraging because of high infection rates and associated limb amputation. We reviewed our experience with angioaccess grafts in the groin to assess safety and viability in our hemodialysis patient population. METHODS A retrospective review was performed...

Background: Common measures to stop bleeding can run the risk of clotting and thrombosis due to prolonged application of pressure. Topical homeostatic agents have an important role in decreasing time to hemostasis and consequently prevention of the complications.   Aim: the aim of this study was to compare Celox powder and conventional bandage on time to hemostasis in the vascular access site i...

PATIENT Male, 59 FINAL DIAGNOSIS: Pulmonary embolism Symptoms: Cardiac arrest • chest pain • dyspnea MEDICATION - Clinical Procedure: Angioplasty Specialty: Nephrology. OBJECTIVE Rare disease. BACKGROUND Vascular access is the lifeline of hemodialysis patients and access problems are a major source of morbidity and mortality for these patients. Access stenosis and thrombosis are common pr...

H emodialysis vascular access is the lifeline for more than 400,000 patients on hemodialysis in the United States. Unfortunately, due to the high incidence of dialysis vascular access dysfunction, it is also the “Achilles’ heel” of hemodialysis.1-3 There are currently three main forms of permanent dialysis vascular access, all of which have their benefits and disadvantages.4 Arteriovenous fistu...

INTRODUCTION The quality of the life in patients requiring long term hemodialysis is directly proportional to the long-term patency of their vascular access. Basilic vein transposition for vascular access (BAVA) represents a suitable option for creating a tertiary native vascular access for hemodialysis on the upper extremities for patients requiring long term hemodialysis. The purpose of the s...

PURPOSE To compare the diagnostic performances of computer tomography angiography (CTA) and magnetic resonance angiography (MRA) for detection and assessment of stenosis in patients with autologuous hemodialysis access. MATERIALS AND METHODS Search of PubMed, MEDLINE, EMBASE and Cochrane Library database from January 1984 to May 2013 for studies comparing CTA or MRA with DSA or surgery for au...

Hemodialysis is a modality of blood filtration in which accumulated toxins and water are removed from the body. This treatment is indicated for patients at the end stage of renal disease. Vascular access complications are responsible for 20-25% of all hospitalizations in dialyzed patients. The occurrence of thrombosis in the vascular access is a serious problem that may severely compromise or e...