Brachiocephalic Fistulas for Vascular Access

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Access flow reduction and recurrent symptomatic cephalic arch stenosis in brachiocephalic hemodialysis arteriovenous fistulas.

BACKGROUND Recurrent cephalic arch stenosis (CAS) has been linked to high flow and has a high rate of recurrence following angioplasty. This study investigates the effectiveness of access flow reduction in decreasing rapidly recurrent symptomatic CAS. METHODS A retrospective study of patient records from February 2005 to April 2009 was conducted. Patients with brachiocephalic fistulas who had...

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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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Resolved: Fistulas are preferred to grafts as initial vascular access for dialysis. Con.

There is growing concern that the Fistula First Initiative, KDOQI guidelines, and subsequent pressure from the Centers for Medicare and Medicaid Services lack reasonableness regarding likely success for fistula maturation in a heterogeneous, new-onset dialysis population. Here the various positions are examined from multiple perspectives.

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Use of short prosthesis segments for brachiocephalic arteriovenous fistulas in elderly hemodialysis population

INTRODUCTION The autogenous brachiocephalic fistula is a recognized secondary access for hemodialysis. However, veins in the antecubital fossa are often damaged, due to repeated venipunctures and subsequent scarring. Sometimes their anatomy does not enable successful arteriovenous fistula creation. In cases when the proximal part of the cephalic vein seemed patent, during ultrasound Doppler exa...

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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, three ...

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ژورنال

عنوان ژورنال: Nephron

سال: 1989

ISSN: 1660-8151,2235-3186

DOI: 10.1159/000185599